Mario Javier Caballero in Patrick Air Force Ba - Dentist
Mario Javier Caballero - NPI 1205921004
Mario Javier Caballero is a Dentist in Patrick Air Force Ba, Florida. Mario Javier Caballero practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mario Javier Caballero is 1205921004. The last update date is 2011-09-07.
Mario Javier Caballero's current location address is 1389 S. Patrick Drive (building 1371), Patrick Air Force Ba, Florida. You can contact this provider via phone number 3054465676 and fax number 3054465265. The mailing address for Mario Javier Caballero is 1389 S. Patrick Drive (building 1371), Patrick Air Force Ba, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mario Javier Caballero |
|---|---|
| Address | 1389 S. Patrick Drive (building 1371), Patrick Air Force Ba, Florida |
| Phone Number | 3054465676 |
| Fax Number | 3054465265 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1205921004 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2011-09-07 |
Provider Mailing Address Detail
| Address | 1389 S. Patrick Drive (building 1371) |
|---|---|
| City | Patrick Air Force Ba |
| State | Florida (FL) |
| Post Code | 329253607 |
| Phone Number | 3054465676 |
| Fax Number | 3054465265 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN11572 |
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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 identifier code issued to Mario Javier Caballero by the Centers for Medicare & Medicaid Services?
The Mario Javier Caballero has been assigned the NPI (National Provider Identifier) 1205921004. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mario Javier Caballero's facilities are geographically located?
The facilities of Mario Javier Caballero are physically situated at the following location: 1389 S. Patrick Drive (Building 1371), Patrick Air Force Ba, FL, 329253607.
What is Mario Javier Caballero's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mario Javier Caballero's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Mario Javier Caballero receive the assignment of its 1205921004 from the Centers for Medicare & Medicaid Services?
The Mario Javier Caballero was issued its 1205921004 by the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date were the details related to Mario Javier Caballero most recently updated or revised?
The information pertaining to Mario Javier Caballero, including its address, specialty, and other relevant details, was last updated or revised on 2011-09-07.