John Joseph Mistretta in Rockville - Dentist
John Joseph Mistretta - NPI 1790879047
John Joseph Mistretta is a Dentist in Rockville, Maryland. John Joseph Mistretta practices all healthcare services and medical treatments related to Dentist. The NPI Number for John Joseph Mistretta is 1790879047. The last update date is 2007-07-08.
John Joseph Mistretta's current location address is 15201 Shady Grove Rd, Rockville, Maryland. You can contact this provider via phone number 3018400600 and fax number 3018400601. The mailing address for John Joseph Mistretta is 15201 Shady Grove Rd, Rockville, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Joseph Mistretta |
|---|---|
| Address | 15201 Shady Grove Rd, Rockville, Maryland |
| Phone Number | 3018400600 |
| Fax Number | 3018400601 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1790879047 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15201 Shady Grove Rd |
|---|---|
| City | Rockville |
| State | Maryland (MD) |
| Post Code | 20850 |
| Phone Number | 3018400600 |
| Fax Number | 3018400601 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6428 |
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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 John Joseph Mistretta by the Centers for Medicare & Medicaid Services?
The John Joseph Mistretta has been assigned the NPI (National Provider Identifier) 1790879047. 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 provide the complete physical location address of John Joseph Mistretta?
The John Joseph Mistretta is physically situated at 15201 Shady Grove Rd, in the city of Rockville, state of MD, with the postal code 20850.
What is the John Joseph Mistretta's specialty and taxonomy code?
The John Joseph Mistretta's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date was the 1790879047 assigned to John Joseph Mistretta?
The John Joseph Mistretta was issued its 1790879047 on 2006-10-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to John Joseph Mistretta most recently updated or revised?
The details related to John Joseph Mistretta, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.