Felicitas I Wibowo in Hanover - Endodontics
Felicitas I Wibowo - NPI 1992972095
Felicitas I Wibowo is a Endodontics in Hanover, Pennsylvania. Felicitas I Wibowo practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Felicitas I Wibowo is 1992972095. The last update date is 2023-03-15.
Felicitas I Wibowo's current location address is 138 Broadway, Hanover, Pennsylvania. You can contact this provider via phone number 7176328571 and fax number 7176326466. The mailing address for Felicitas I Wibowo is 138 Broadway, Hanover, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Felicitas I Wibowo |
|---|---|
| Address | 138 Broadway, Hanover, Pennsylvania |
| Phone Number | 7176328571 |
| Fax Number | 7176326466 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1992972095 |
|---|---|
| Provider Enumeration Date | 2008-05-08 |
| Last Updated Date | 2023-03-15 |
Provider Mailing Address Detail
| Address | 138 Broadway |
|---|---|
| City | Hanover |
| State | Pennsylvania (PA) |
| Post Code | 173312500 |
| Phone Number | 7176328571 |
| Fax Number | 7176326466 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | DS037130 |
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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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Post Comment/ Review Below
What is the Felicitas I Wibowo's unique identification number?
The Felicitas I Wibowo has been assigned the NPI (National Provider Identifier) Number 1992972095 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Felicitas I Wibowo?
The Felicitas I Wibowo is situated at 138 Broadway, in the city of Hanover, state of PA, with the zip code 173312500.
What is Felicitas I Wibowo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Felicitas I Wibowo is Endodontics, and the corresponding taxonomy classification code for this specialized field is 1223E0200X.
On what date did Felicitas I Wibowo receive its 1992972095 assignment from the Centers for Medicare & Medicaid Services?
The Felicitas I Wibowo was assigned its 1992972095 on 2008-05-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Felicitas I Wibowo most recently updated or revised?
The details related to Felicitas I Wibowo, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-15.