Michael Landers Mauldin in Portland - Dentist
Michael Landers Mauldin - NPI 1588670939
Michael Landers Mauldin is a Dentist in Portland, Texas. Michael Landers Mauldin practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michael Landers Mauldin is 1588670939. The last update date is 2007-07-08.
Michael Landers Mauldin's current location address is 501 Moore Ave, Portland, Texas. You can contact this provider via phone number 3616437811 and fax number 3616434028. The mailing address for Michael Landers Mauldin is 501 Moore Ave, Portland, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Landers Mauldin |
|---|---|
| Address | 501 Moore Ave, Portland, Texas |
| Phone Number | 3616437811 |
| Fax Number | 3616434028 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1588670939 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 501 Moore Ave |
|---|---|
| City | Portland |
| State | Texas (TX) |
| Post Code | 783741605 |
| Phone Number | 3616437811 |
| Fax Number | 3616434028 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 9804 |
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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 assigned to Michael Landers Mauldin by the Centers for Medicare & Medicaid Services?
The Michael Landers Mauldin has been issued the NPI (National Provider Identifier) 1588670939, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Michael Landers Mauldin?
The Michael Landers Mauldin is situated at 501 Moore Ave, in the city of Portland, state of TX, with the zip code 783741605.
What is Michael Landers Mauldin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael Landers Mauldin is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did Michael Landers Mauldin receive its 1588670939 assignment from the Centers for Medicare & Medicaid Services?
The Michael Landers Mauldin was assigned its 1588670939 on 2006-07-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Michael Landers Mauldin most recently updated or refreshed?
The details pertaining to the Michael Landers Mauldin, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.