Centerville Clinics Ins Dental in Fredericktown - Dentist
Centerville Clinics Ins Dental - NPI 1194757559
Centerville Clinics Ins Dental is a Dentist in Fredericktown, Pennsylvania. Centerville Clinics Ins Dental practices all healthcare services and medical treatments related to Dentist. The NPI Number for Centerville Clinics Ins Dental is 1194757559. The last update date is 2020-08-22.
Centerville Clinics Ins Dental's current location address is 1070 Old National Pike, Fredericktown, Pennsylvania. You can contact this provider via phone number 7246321680. The mailing address for Centerville Clinics Ins Dental is 1070 Old National Pike, Fredericktown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Centerville Clinics Ins Dental |
|---|---|
| Address | 1070 Old National Pike, Fredericktown, Pennsylvania |
| Phone Number | 7246321680 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR F |
|---|---|
| Authorized Official Name | Martos Patricia |
| Telephone Number | 7246326801 |
NPI Number Detail
| NPI Number | 1194757559 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1070 Old National Pike |
|---|---|
| City | Fredericktown |
| State | Pennsylvania (PA) |
| Post Code | 153332114 |
| Phone Number | 7246321680 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1007288440027 | PA | -- | |
| 164629 | PA | HIGHMARK |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Centerville Clinics Ins Dental by the Centers for Medicare & Medicaid Services?
The Centerville Clinics Ins Dental has been issued the NPI (National Provider Identifier) 1194757559 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Centerville Clinics Ins Dental's facilities are geographically located?
The facilities of Centerville Clinics Ins Dental are physically situated at the following location: 1070 Old National Pike, Fredericktown, PA, 153332114.
What is the Centerville Clinics Ins Dental's area of specialization and corresponding taxonomy classification?
The Centerville Clinics Ins Dental's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centerville Clinics Ins Dental receive the assignment of its 1194757559 from the Centers for Medicare & Medicaid Services?
The Centerville Clinics Ins Dental was issued its 1194757559 by the Centers for Medicare & Medicaid Services on 2006-07-07.
As of what date were the Centerville Clinics Ins Dental's details last updated?
The information pertaining to the Centerville Clinics Ins Dental, including its address, specialty, and other details, was most recently updated on 2020-08-22.