Craig Ambrose Balloon in Canton - General Practice
Craig Ambrose Balloon - NPI 1568485225
Craig Ambrose Balloon is a General Practice in Canton, Ohio. Craig Ambrose Balloon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Craig Ambrose Balloon is 1568485225. The last update date is 2007-07-08.
Craig Ambrose Balloon's current location address is 2410 Cleveland Ave Nw, Canton, Ohio. You can contact this provider via phone number 3304539980 and fax number 3304539981. The mailing address for Craig Ambrose Balloon is 2410 Cleveland Ave Nw, Canton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig Ambrose Balloon |
|---|---|
| Address | 2410 Cleveland Ave Nw, Canton, Ohio |
| Phone Number | 3304539980 |
| Fax Number | 3304539981 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1568485225 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2410 Cleveland Ave Nw |
|---|---|
| City | Canton |
| State | Ohio (OH) |
| Post Code | 447093613 |
| Phone Number | 3304539980 |
| Fax Number | 3304539981 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 16031 |
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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 Craig Ambrose Balloon's 1568485225?
The Craig Ambrose Balloon's NPI (National Provider Identifier) Number is 1568485225. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Craig Ambrose Balloon's facilities are situated?
The facilities of Craig Ambrose Balloon are physically located at the following address: 2410 Cleveland Ave Nw, Canton, OH, 447093613.
What is the Craig Ambrose Balloon's area of specialization and corresponding taxonomy classification?
The Craig Ambrose Balloon'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 issue the 1568485225 to Craig Ambrose Balloon?
The Craig Ambrose Balloon received its 1568485225 assignment from the Centers for Medicare & Medicaid Services on 2006-07-25.
As of what date was the information regarding Craig Ambrose Balloon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Craig Ambrose Balloon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA