Ivy Bass Mitcham is a Dentist in Katy, Texas. Ivy Bass Mitcham practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ivy Bass Mitcham is 1235238221. The last update date is 2007-07-08.
Ivy Bass Mitcham's current location address is 1575 W Grand Parkway S #1200, Katy, Texas. You can contact this provider via phone number 2813951700 and fax number 2813951725. The mailing address for Ivy Bass Mitcham is 1575 W Grand Parkway S #1200, Katy, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivy Bass Mitcham |
|---|---|
| Address | 1575 W Grand Parkway S #1200, Katy, Texas |
| Phone Number | 2813951700 |
| Fax Number | 2813951725 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1235238221 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1575 W Grand Parkway S #1200 |
|---|---|
| City | Katy |
| State | Texas (TX) |
| Post Code | 77494 |
| Phone Number | 2813951700 |
| Fax Number | 2813951725 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 15439 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ivy Bass Mitcham by the Centers for Medicare & Medicaid Services?
The Ivy Bass Mitcham has been assigned the NPI (National Provider Identifier) 1235238221 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Ivy Bass Mitcham is physically located?
The Ivy Bass Mitcham is physically situated at the following address: 1575 W Grand Parkway S #1200, Katy, TX, 77494.
What is Ivy Bass Mitcham's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ivy Bass Mitcham is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1235238221 to Ivy Bass Mitcham?
The Centers for Medicare & Medicaid Services assigned the 1235238221 to Ivy Bass Mitcham on 2006-09-22.
When was the information related to Ivy Bass Mitcham most recently updated or refreshed?
The details pertaining to the Ivy Bass Mitcham, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.