Jefferson Michael Pecora in Balm Bay - Dentist
Jefferson Michael Pecora - NPI 1831396282
Jefferson Michael Pecora is a Dentist in Balm Bay, Florida. Jefferson Michael Pecora practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jefferson Michael Pecora is 1831396282. The last update date is 2022-07-21.
Jefferson Michael Pecora's current location address is 2105 Palm Bay Road Ne Ste 4-5, Balm Bay, Florida. You can contact this provider via phone number 3217257644 and fax number 9413629354. The mailing address for Jefferson Michael Pecora is 2105 Palm Bay Road Ne Ste 4-5, Balm Bay, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jefferson Michael Pecora |
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Address | 2105 Palm Bay Road Ne Ste 4-5, Balm Bay, Florida |
Phone Number | 3217257644 |
Fax Number | 9413629354 |
Sole Proprietor | N |
Credentials | DMD |
NPI Number Detail
NPI Number | 1831396282 |
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Provider Enumeration Date | 2007-06-29 |
Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
Address | 2105 Palm Bay Road Ne Ste 4-5 |
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City | Balm Bay |
State | Florida (FL) |
Post Code | 32905 |
Phone Number | 3217257644 |
Fax Number | 9413629354 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | DN0013729 |
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 identifier code issued to Jefferson Michael Pecora by the Centers for Medicare & Medicaid Services?
The Jefferson Michael Pecora has been assigned the NPI (National Provider Identifier) 1831396282. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jefferson Michael Pecora's facilities are situated?
The facilities of Jefferson Michael Pecora are physically located at the following address: 2105 Palm Bay Road Ne Ste 4-5, Balm Bay, FL, 32905.
What is Jefferson Michael Pecora's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jefferson Michael Pecora is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did Jefferson Michael Pecora receive its 1831396282 assignment from the Centers for Medicare & Medicaid Services?
The Jefferson Michael Pecora was assigned its 1831396282 on 2007-06-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jefferson Michael Pecora most recently updated or refreshed?
The details pertaining to the Jefferson Michael Pecora, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY