Bedford Dental Professional Corp in Bedford - Dentist
Bedford Dental Professional Corp - NPI 1033190640
Bedford Dental Professional Corp is a Dentist in Bedford, Pennsylvania. Bedford Dental Professional Corp practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bedford Dental Professional Corp is 1033190640. The last update date is 2020-08-22.
Bedford Dental Professional Corp's current location address is 902 Echo Vale Dr, Bedford, Pennsylvania. You can contact this provider via phone number 8146232217 and fax number 8146236271. The mailing address for Bedford Dental Professional Corp is 902 Echo Vale Dr, Bedford, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bedford Dental Professional Corp |
|---|---|
| Address | 902 Echo Vale Dr, Bedford, Pennsylvania |
| Phone Number | 8146232217 |
| Fax Number | 8146236271 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Stiffler Michael William |
| Credentials | DDS |
| Telephone Number | 8146232217 |
NPI Number Detail
| NPI Number | 1033190640 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 902 Echo Vale Dr |
|---|---|
| City | Bedford |
| State | Pennsylvania (PA) |
| Post Code | 15522 |
| Phone Number | 8146232217 |
| Fax Number | 8146236271 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS020764L |
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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 Bedford Dental Professional Corp by the Centers for Medicare & Medicaid Services?
The Bedford Dental Professional Corp has been assigned the NPI (National Provider Identifier) 1033190640. 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 Bedford Dental Professional Corp's facilities are situated?
The facilities of Bedford Dental Professional Corp are physically located at the following address: 902 Echo Vale Dr, Bedford, PA, 15522.
What is Bedford Dental Professional Corp's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bedford Dental Professional Corp is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033190640 to Bedford Dental Professional Corp?
The Centers for Medicare & Medicaid Services originally issued the 1033190640 to Bedford Dental Professional Corp on 2005-11-10.
When was the Bedford Dental Professional Corp's information last updated?
The Bedford Dental Professional Corp's information was last updated on 2020-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY