Miranda Michelle Childs in Arkadelphia - General Practice

Miranda Michelle Childs - NPI 1043325145

Miranda Michelle Childs is a General Practice in Arkadelphia, Arkansas. Miranda Michelle Childs practices all healthcare services and medical treatments related to General Practice. The NPI Number for Miranda Michelle Childs is 1043325145. The last update date is 2007-07-08.

Miranda Michelle Childs's current location address is 312 Professional Park Dr, Arkadelphia, Arkansas. You can contact this provider via phone number 8702452323 and fax number 2702452368. The mailing address for Miranda Michelle Childs is 312 Professional Park Dr, Arkadelphia, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Miranda Michelle Childs
Address 312 Professional Park Dr, Arkadelphia, Arkansas
Phone Number 8702452323
Fax Number 2702452368
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1043325145
Provider Enumeration Date 2006-08-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 312 Professional Park Dr
City Arkadelphia
State Arkansas (AR)
Post Code 719235315
Phone Number 8702452323
Fax Number 2702452368

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3103
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5U242 AR BLUE CROSS BLUE SHIELD PR
766360 AR UNITED CONCORDIA

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FAQs about Miranda Michelle Childs

What is the unique 10-digit identification code issued to Miranda Michelle Childs by the Centers for Medicare & Medicaid Services?

The Miranda Michelle Childs has been assigned the NPI (National Provider Identifier) 1043325145 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Miranda Michelle Childs?

The Miranda Michelle Childs is physically situated at 312 Professional Park Dr, in the city of Arkadelphia, state of AR, with the postal code 719235315.

What is the Miranda Michelle Childs's area of specialization and corresponding taxonomy classification?

The Miranda Michelle Childs's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1043325145 to Miranda Michelle Childs?

The Centers for Medicare & Medicaid Services originally issued the 1043325145 to Miranda Michelle Childs on 2006-08-20.

As of what date were the details pertaining to Miranda Michelle Childs last refreshed?

The information related to the Miranda Michelle Childs, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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