Edgewood Family Dentistry in Edgewood - General Practice
Edgewood Family Dentistry - NPI 1316917495
Edgewood Family Dentistry is a General Practice in Edgewood, New Mexico. Edgewood Family Dentistry practices all healthcare services and medical treatments related to General Practice. The NPI Number for Edgewood Family Dentistry is 1316917495. The last update date is 2020-08-22.
Edgewood Family Dentistry's current location address is Po Box 2560, Edgewood, New Mexico. You can contact this provider via phone number 5052810373 and fax number 5052810373. The mailing address for Edgewood Family Dentistry is Po Box 2560, Edgewood, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edgewood Family Dentistry |
|---|---|
| Address | Po Box 2560, Edgewood, New Mexico |
| Phone Number | 5052810373 |
| Fax Number | 5052810373 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Harrington L Stephen |
| Credentials | D.D.S. |
| Telephone Number | 5052810373 |
NPI Number Detail
| NPI Number | 1316917495 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 2560 |
|---|---|
| City | Edgewood |
| State | New Mexico (NM) |
| Post Code | 870152560 |
| Phone Number | 5052810373 |
| Fax Number | 5052810373 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | NM1580 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NM1580 | NM | STEVE'S NM LISC # | |
| NM1625 | NM | SUE'S NM LISC # |
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What is the unique provider identifier assigned to Edgewood Family Dentistry?
The Edgewood Family Dentistry has been issued the NPI (National Provider Identifier) 1316917495 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Edgewood Family Dentistry located?
The Edgewood Family Dentistry is located at Po Box 2560, Edgewood, NM 870152560.
What is Edgewood Family Dentistry's area of expertise and its corresponding taxonomy classification?
The Edgewood Family Dentistry's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1316917495 to Edgewood Family Dentistry?
The Edgewood Family Dentistry received its 1316917495 assignment from the Centers for Medicare & Medicaid Services on 2006-01-23.
As of what date were the Edgewood Family Dentistry's details last updated?
The information pertaining to the Edgewood Family Dentistry, including its address, specialty, and other details, was most recently updated on 2020-08-22.