Anthony August Pesola in Eden Prairie - Dentist
Anthony August Pesola - NPI 1285641803
Anthony August Pesola is a Dentist in Eden Prairie, Minnesota. Anthony August Pesola practices all healthcare services and medical treatments related to Dentist. The NPI Number for Anthony August Pesola is 1285641803. The last update date is 2007-07-08.
Anthony August Pesola's current location address is 16518 West 78th Street, Eden Prairie, Minnesota. You can contact this provider via phone number 9529372137 and fax number 9529375820. The mailing address for Anthony August Pesola is 16518 West 78th Street, Eden Prairie, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony August Pesola |
|---|---|
| Address | 16518 West 78th Street, Eden Prairie, Minnesota |
| Phone Number | 9529372137 |
| Fax Number | 9529375820 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1285641803 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 16518 West 78th Street |
|---|---|
| City | Eden Prairie |
| State | Minnesota (MN) |
| Post Code | 55346 |
| Phone Number | 9529372137 |
| Fax Number | 9529375820 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D7867 |
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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 10-digit identification code issued to Anthony August Pesola by the Centers for Medicare & Medicaid Services?
The Anthony August Pesola has been assigned the NPI (National Provider Identifier) 1285641803 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Anthony August Pesola's physical address?
The Anthony August Pesola is physically located at 16518 West 78Th Street, in the city of Eden Prairie, MN, with the postal code 55346.
What is Anthony August Pesola's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Anthony August Pesola's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
When was the Anthony August Pesola's 1285641803 issued?
The Anthony August Pesola's 1285641803 was issued on 2006-08-03.
As of what date were the details related to Anthony August Pesola most recently updated or revised?
The information pertaining to Anthony August Pesola, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.