East Texas Endodonics in Longview - Endodontics
East Texas Endodonics - NPI 1346249612
East Texas Endodonics is a Endodontics in Longview, Texas. East Texas Endodonics practices all healthcare services and medical treatments related to Endodontics. The NPI Number for East Texas Endodonics is 1346249612. The last update date is 2020-08-22.
East Texas Endodonics's current location address is 815c North 4th Street, Longview, Texas. You can contact this provider via phone number 9037578890 and fax number 9037577198. The mailing address for East Texas Endodonics is 815c North 4th Street, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Texas Endodonics |
|---|---|
| Address | 815c North 4th Street, Longview, Texas |
| Phone Number | 9037578890 |
| Fax Number | 9037577198 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Camp A Mark |
| Credentials | DDS |
| Telephone Number | 9037578890 |
NPI Number Detail
| NPI Number | 1346249612 |
|---|---|
| Provider Enumeration Date | 2005-07-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 815c North 4th Street |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756015439 |
| Phone Number | 9037578890 |
| Fax Number | 9037577198 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 12232 |
|
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 provider identifier assigned to East Texas Endodonics?
The East Texas Endodonics has been issued the NPI (National Provider Identifier) 1346249612 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where East Texas Endodonics is located?
The East Texas Endodonics is situated at the following address: 815C North 4Th Street, Longview, TX, 756015439.
What is East Texas Endodonics's specialized field of practice, and what is the corresponding taxonomy classification code?
The East Texas Endodonics's area of specialization is Endodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1346249612 to East Texas Endodonics?
The Centers for Medicare & Medicaid Services assigned the 1346249612 to East Texas Endodonics on 2005-07-19.
As of what date were the East Texas Endodonics's details last updated?
The information pertaining to the East Texas Endodonics, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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