Craig C Broome in St Petersburg - Endodontics
Craig C Broome - NPI 1922199512
Craig C Broome is a Endodontics in St Petersburg, Florida. Craig C Broome practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Craig C Broome is 1922199512. The last update date is 2007-07-08.
Craig C Broome's current location address is 2201 49th Street N, St Petersburg, Florida. You can contact this provider via phone number 7273287929 and fax number 7273280737. The mailing address for Craig C Broome is 2201 49th Street N, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig C Broome |
|---|---|
| Address | 2201 49th Street N, St Petersburg, Florida |
| Phone Number | 7273287929 |
| Fax Number | 7273280737 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1922199512 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2201 49th Street N |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337103508 |
| Phone Number | 7273287929 |
| Fax Number | 7273280737 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | DN13040 |
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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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What is the unique 10-digit identifier code issued to Craig C Broome by the Centers for Medicare & Medicaid Services?
The Craig C Broome has been assigned the NPI (National Provider Identifier) 1922199512 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 Craig C Broome is physically located?
The Craig C Broome is physically situated at the following address: 2201 49Th Street N, St Petersburg, FL, 337103508.
What is Craig C Broome's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Craig C Broome's specialized field of practice is Endodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1922199512 to Craig C Broome?
The Centers for Medicare & Medicaid Services originally issued the 1922199512 to Craig C Broome on 2006-09-27.
When was the Craig C Broome's information last updated?
The Craig C Broome's information was last updated on 2007-07-08.
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