The Dentist Office Psc in Pikeville - Dentist

The Dentist Office Psc - NPI 1114085982

The Dentist Office Psc is a Dentist in Pikeville, Kentucky. The Dentist Office Psc practices all healthcare services and medical treatments related to Dentist. The NPI Number for The Dentist Office Psc is 1114085982. The last update date is 2020-08-22.

The Dentist Office Psc's current location address is 1144 S Mayo Trail, Pikeville, Kentucky. You can contact this provider via phone number 6064330033 and fax number 6064330990. The mailing address for The Dentist Office Psc is 1144 S Mayo Trail, Pikeville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Organization The Dentist Office Psc
Address 1144 S Mayo Trail, Pikeville, Kentucky
Phone Number 6064330033
Fax Number 6064330990
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Whitfield Harris Chonda
Credentials DMD
Telephone Number 6064330033

NPI Number Detail

NPI Number 1114085982
Provider Enumeration Date 2006-12-05
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1144 S Mayo Trail
City Pikeville
State Kentucky (KY)
Post Code 41501
Phone Number 6064330033
Fax Number 6064330990

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
61900312 KY --

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FAQs about The Dentist Office Psc

What is the unique identifier code issued to The Dentist Office Psc by the Centers for Medicare & Medicaid Services (CMS)?

The The Dentist Office Psc has been assigned the NPI (National Provider Identifier) 1114085982. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the The Dentist Office Psc located?

The The Dentist Office Psc is located at 1144 S Mayo Trail, Pikeville, KY 41501.

What is The Dentist Office Psc's specialized field of practice, and what is the corresponding taxonomy classification code?

The The Dentist Office Psc's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did The Dentist Office Psc receive its 1114085982 assignment from the Centers for Medicare & Medicaid Services?

The The Dentist Office Psc was assigned its 1114085982 on 2006-12-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to The Dentist Office Psc most recently updated or revised?

The information pertaining to The Dentist Office Psc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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