Cosmetic Family Dental Clinic Pc in Mesa - Dentist
Cosmetic Family Dental Clinic Pc - NPI 1770609000
Cosmetic Family Dental Clinic Pc is a Dentist in Mesa, Arizona. Cosmetic Family Dental Clinic Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Cosmetic Family Dental Clinic Pc is 1770609000. The last update date is 2020-08-22.
Cosmetic Family Dental Clinic Pc's current location address is 1236 E Baseline Rd, Mesa, Arizona. You can contact this provider via phone number 4805033600 and fax number 4805033601. The mailing address for Cosmetic Family Dental Clinic Pc is 1236 E Baseline Rd, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cosmetic Family Dental Clinic Pc |
|---|---|
| Address | 1236 E Baseline Rd, Mesa, Arizona |
| Phone Number | 4805033600 |
| Fax Number | 4805033601 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER DENT |
|---|---|
| Authorized Official Name | Huynh Nam Nick |
| Credentials | DDS |
| Telephone Number | 4805033600 |
NPI Number Detail
| NPI Number | 1770609000 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1236 E Baseline Rd |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852046705 |
| Phone Number | 4805033600 |
| Fax Number | 4805033601 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5118 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique provider identifier assigned to Cosmetic Family Dental Clinic Pc?
The Cosmetic Family Dental Clinic Pc has been issued the NPI (National Provider Identifier) 1770609000 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Cosmetic Family Dental Clinic Pc is physically located?
The Cosmetic Family Dental Clinic Pc is situated at the following address: 1236 E Baseline Rd, Mesa, AZ 852046705.
What is Cosmetic Family Dental Clinic Pc's area of expertise and its corresponding taxonomy classification?
The Cosmetic Family Dental Clinic Pc's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1770609000 to Cosmetic Family Dental Clinic Pc?
The Cosmetic Family Dental Clinic Pc received its 1770609000 assignment from the Centers for Medicare & Medicaid Services on 2007-03-21.
As of what date was the information regarding Cosmetic Family Dental Clinic Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Cosmetic Family Dental Clinic Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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