Petra Dentistry Llc in Columbia - General Practice
Petra Dentistry Llc - NPI 1598850422
Petra Dentistry Llc is a General Practice in Columbia, Maryland. Petra Dentistry Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Petra Dentistry Llc is 1598850422. The last update date is 2020-08-22.
Petra Dentistry Llc's current location address is 10910 Little Patuxent Pkwy, Columbia, Maryland. You can contact this provider via phone number 4107408588 and fax number 4107409755. The mailing address for Petra Dentistry Llc is 10910 Little Patuxent Pkwy, Columbia, Maryland. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Petra Dentistry Llc |
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Address | 10910 Little Patuxent Pkwy, Columbia, Maryland |
Phone Number | 4107408588 |
Fax Number | 4107409755 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DENTIST/OW |
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Authorized Official Name | Philippi E Lara |
Credentials | D.M.D. |
Telephone Number | 4107408588 |
NPI Number Detail
NPI Number | 1598850422 |
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Provider Enumeration Date | 2006-10-04 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 10910 Little Patuxent Pkwy |
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City | Columbia |
State | Maryland (MD) |
Post Code | 210443078 |
Phone Number | 4107408588 |
Fax Number | 4107409755 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 12458 |
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. |
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What is the unique identifier code issued to Petra Dentistry Llc by the Centers for Medicare & Medicaid Services?
The Petra Dentistry Llc has been assigned the NPI (National Provider Identifier) 1598850422. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Petra Dentistry Llc is geographically located?
The Petra Dentistry Llc is physically situated at the following location: 10910 Little Patuxent Pkwy, Columbia, MD, 210443078.
What is the Petra Dentistry Llc's specialty and taxonomy code?
The Petra Dentistry Llc's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
When did Petra Dentistry Llc receive its 1598850422 assignment?
The Petra Dentistry Llc was assigned its 1598850422 on 2006-10-04, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Petra Dentistry Llc last refreshed?
The information related to the Petra Dentistry Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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