Four Seasons Dental Pa in Mineral Wells - Dentist
Four Seasons Dental Pa - NPI 1619072261
Four Seasons Dental Pa is a Dentist in Mineral Wells, Texas. Four Seasons Dental Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Four Seasons Dental Pa is 1619072261. The last update date is 2020-08-22.
Four Seasons Dental Pa's current location address is 501 E Hubbard St, Mineral Wells, Texas. You can contact this provider via phone number 9403281131 and fax number 9403281131. The mailing address for Four Seasons Dental Pa is 501 E Hubbard St, Mineral Wells, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Four Seasons Dental Pa |
|---|---|
| Address | 501 E Hubbard St, Mineral Wells, Texas |
| Phone Number | 9403281131 |
| Fax Number | 9403281131 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST/PR |
|---|---|
| Authorized Official Name | Vaughan Christina Saskia |
| Credentials | DDS |
| Telephone Number | 9403281131 |
NPI Number Detail
| NPI Number | 1619072261 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 501 E Hubbard St |
|---|---|
| City | Mineral Wells |
| State | Texas (TX) |
| Post Code | 760675415 |
| Phone Number | 9403281131 |
| Fax Number | 9403281131 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 16103 |
|
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 |
|---|---|---|---|
| 16103 | TX | LICENSE (TSBDE) |
Post Comment/ Review Below
What is the unique provider identifier assigned to Four Seasons Dental Pa?
The Four Seasons Dental Pa has been issued the NPI (National Provider Identifier) 1619072261 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Four Seasons Dental Pa's facilities are situated?
The facilities of Four Seasons Dental Pa are physically located at the following address: 501 E Hubbard St, Mineral Wells, TX, 760675415.
What is the Four Seasons Dental Pa's specialty and taxonomy code?
The Four Seasons Dental Pa's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Four Seasons Dental Pa receive the assignment of its 1619072261 from the Centers for Medicare & Medicaid Services?
The Four Seasons Dental Pa was issued its 1619072261 by the Centers for Medicare & Medicaid Services on 2006-09-14.
When was the information regarding Four Seasons Dental Pa most recently updated?
The details pertaining to the Four Seasons Dental Pa, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.