Advanced Dental Spa in New Bedford - General Practice
Advanced Dental Spa - NPI 1164621793
Advanced Dental Spa is a General Practice in New Bedford, Massachusetts. Advanced Dental Spa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Advanced Dental Spa is 1164621793. The last update date is 2007-07-13.
Advanced Dental Spa's current location address is 140 Dartmouth Street, New Bedford, Massachusetts. You can contact this provider via phone number 7746889226. The mailing address for Advanced Dental Spa is 140 Dartmouth Street, New Bedford, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Dental Spa |
|---|---|
| Address | 140 Dartmouth Street, New Bedford, Massachusetts |
| Phone Number | 7746889226 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Khalife-Yazbeck J Vivianne |
| Credentials | DDS |
| Telephone Number | 7746889226 |
NPI Number Detail
| NPI Number | 1164621793 |
|---|---|
| Provider Enumeration Date | 2007-07-13 |
| Last Updated Date | 2007-07-13 |
Provider Mailing Address Detail
| Address | 140 Dartmouth Street |
|---|---|
| City | New Bedford |
| State | Massachusetts (MA) |
| Post Code | 2740 |
| Phone Number | 7746889226 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 21657 |
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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 Advanced Dental Spa by the Centers for Medicare & Medicaid Services?
The Advanced Dental Spa has been assigned the NPI (National Provider Identifier) 1164621793. 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 provide the complete physical location address of Advanced Dental Spa?
The Advanced Dental Spa is physically situated at 140 Dartmouth Street, in the city of New Bedford, state of MA, with the postal code 2740.
What is Advanced Dental Spa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Advanced Dental Spa's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Advanced Dental Spa receive the assignment of its 1164621793 from the Centers for Medicare & Medicaid Services?
The Advanced Dental Spa was issued its 1164621793 by the Centers for Medicare & Medicaid Services on 2007-07-13.
As of what date was the information regarding Advanced Dental Spa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Advanced Dental Spa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-13.