Ks2 Ms Pc is a Endodontics in Marietta, Georgia. Ks2 Ms Pc practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Ks2 Ms Pc is 1518166214. The last update date is 2019-01-07.
Ks2 Ms Pc's current location address is 1090 Northchase Pkwy Se Ste 150, Marietta, Georgia. You can contact this provider via phone number 7709165028 and fax number 6782477858. The mailing address for Ks2 Ms Pc is 1090 Northchase Pkwy Se Ste 150, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ks2 Ms Pc |
|---|---|
| Address | 1090 Northchase Pkwy Se Ste 150, Marietta, Georgia |
| Phone Number | 7709165028 |
| Fax Number | 6782477858 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mayfield G Dale |
| Credentials | DMD |
| Telephone Number | 7709165036 |
NPI Number Detail
| NPI Number | 1518166214 |
|---|---|
| Provider Enumeration Date | 2007-07-12 |
| Last Updated Date | 2019-01-07 |
Provider Mailing Address Detail
| Address | 1090 Northchase Pkwy Se Ste 150 |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300676407 |
| Phone Number | 7709165028 |
| Fax Number | 6782477858 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
|
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 identification code issued to Ks2 Ms Pc by the Centers for Medicare & Medicaid Services?
The Ks2 Ms Pc has been assigned the NPI (National Provider Identifier) 1518166214 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Ks2 Ms Pc is located?
The Ks2 Ms Pc is situated at the following address: 1090 Northchase Pkwy Se Ste 150, Marietta, GA, 300676407.
What is Ks2 Ms Pc's area of expertise and its corresponding taxonomy classification?
The Ks2 Ms Pc's field of specialization is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their areas of practice.
When did the Ks2 Ms Pc receive its 1518166214?
The Ks2 Ms Pc was issued its 1518166214 on 2007-07-12, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Ks2 Ms Pc most recently updated or revised?
The information pertaining to Ks2 Ms Pc, including its address, specialty, and other relevant details, was last updated or revised on 2019-01-07.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY