L. Carl De Jongh, D.D.S., P.A. in Bradenton - Endodontics
L. Carl De Jongh, D.D.S., P.A. - NPI 1508995242
L. Carl De Jongh, D.D.S., P.A. is a Endodontics in Bradenton, Florida. L. Carl De Jongh, D.D.S., P.A. practices all healthcare services and medical treatments related to Endodontics. The NPI Number for L. Carl De Jongh, D.D.S., P.A. is 1508995242. The last update date is 2020-08-22.
L. Carl De Jongh, D.D.S., P.A.'s current location address is 2111 59th St W, Bradenton, Florida. You can contact this provider via phone number 9417924166 and fax number 9417925435. The mailing address for L. Carl De Jongh, D.D.S., P.A. is 2111 59th St W, Bradenton, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | L. Carl De Jongh, D.D.S., P.A. |
|---|---|
| Address | 2111 59th St W, Bradenton, Florida |
| Phone Number | 9417924166 |
| Fax Number | 9417925435 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | De Jongh Carl L. |
| Credentials | DDS |
| Telephone Number | 9417924166 |
NPI Number Detail
| NPI Number | 1508995242 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2111 59th St W |
|---|---|
| City | Bradenton |
| State | Florida (FL) |
| Post Code | 342097015 |
| Phone Number | 9417924166 |
| Fax Number | 9417925435 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | DN 5742 |
|
Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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Post Comment/ Review Below
What is the unique identifier code issued to L. Carl De Jongh, D.D.S., P.A. by the Centers for Medicare & Medicaid Services?
The L. Carl De Jongh, D.D.S., P.A. has been assigned the NPI (National Provider Identifier) 1508995242. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where L. Carl De Jongh, D.D.S., P.A.'s facilities are geographically located?
The facilities of L. Carl De Jongh, D.D.S., P.A. are physically situated at the following location: 2111 59Th St W, Bradenton, FL, 342097015.
What is L. Carl De Jongh, D.D.S., P.A.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for L. Carl De Jongh, D.D.S., P.A. is Endodontics, and the taxonomy code that categorizes this field of expertise is 1223E0200X.
On what date did L. Carl De Jongh, D.D.S., P.A. receive its 1508995242 assignment from the Centers for Medicare & Medicaid Services?
The L. Carl De Jongh, D.D.S., P.A. was assigned its 1508995242 on 2007-03-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to L. Carl De Jongh, D.D.S., P.A. last refreshed?
The information related to the L. Carl De Jongh, D.D.S., P.A., including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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