Cristina Pellicano Kennedy in Gresham - General Practice
Cristina Pellicano Kennedy - NPI 1982772026
Cristina Pellicano Kennedy is a General Practice in Gresham, Oregon. Cristina Pellicano Kennedy practices all healthcare services and medical treatments related to General Practice. The NPI Number for Cristina Pellicano Kennedy is 1982772026. The last update date is 2007-07-08.
Cristina Pellicano Kennedy's current location address is 501 Ne Hood Ave Ste 235, Gresham, Oregon. You can contact this provider via phone number 5036614900 and fax number 5036673856. The mailing address for Cristina Pellicano Kennedy is 501 Ne Hood Ave Ste 235, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cristina Pellicano Kennedy |
|---|---|
| Address | 501 Ne Hood Ave Ste 235, Gresham, Oregon |
| Phone Number | 5036614900 |
| Fax Number | 5036673856 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1982772026 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 501 Ne Hood Ave Ste 235 |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970307346 |
| Phone Number | 5036614900 |
| Fax Number | 5036673856 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D6867 |
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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 Cristina Pellicano Kennedy's unique identification number?
The Cristina Pellicano Kennedy has been assigned the NPI (National Provider Identifier) Number 1982772026 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Cristina Pellicano Kennedy is located?
The Cristina Pellicano Kennedy is situated at the following address: 501 Ne Hood Ave Ste 235, Gresham, OR, 970307346.
What is Cristina Pellicano Kennedy's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Cristina Pellicano Kennedy is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1982772026 to Cristina Pellicano Kennedy?
The Centers for Medicare & Medicaid Services originally issued the 1982772026 to Cristina Pellicano Kennedy on 2006-11-30.
When was the information related to Cristina Pellicano Kennedy most recently updated or refreshed?
The details pertaining to the Cristina Pellicano Kennedy, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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