Pediatric Dentistry, P.C. in Cheyenne - Pediatric Dentistry

Pediatric Dentistry, P.C. - NPI 1326118993

Pediatric Dentistry, P.C. is a Pediatric Dentistry in Cheyenne, . Pediatric Dentistry, P.C. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dentistry, P.C. is 1326118993. The last update date is 2020-08-22.

Pediatric Dentistry, P.C.'s current location address is 1439 Stillwater Ave Ste 7, Cheyenne, . You can contact this provider via phone number 3077787100 and fax number 3077782824. The mailing address for Pediatric Dentistry, P.C. is 1439 Stillwater Ave Ste 7, Cheyenne, . To know further, please read the information below!

Provider Profile Detail

Provider Organization Pediatric Dentistry, P.C.
Address 1439 Stillwater Ave Ste 7, Cheyenne,
Phone Number 3077787100
Fax Number 3077782824
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Leonard R John
Credentials DDS
Telephone Number 3077787100

NPI Number Detail

NPI Number 1326118993
Provider Enumeration Date 2006-11-09
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1439 Stillwater Ave Ste 7
City Cheyenne
State (WY)
Post Code 820097367
Phone Number 3077787100
Fax Number 3077782824

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
974672 WY UNITED CONCORDIA CO

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FAQs about Pediatric Dentistry, P.C.

What is the unique 10-digit identification code assigned to Pediatric Dentistry, P.C. by the Centers for Medicare & Medicaid Services?

The Pediatric Dentistry, P.C. has been issued the NPI (National Provider Identifier) 1326118993, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Pediatric Dentistry, P.C.?

The Pediatric Dentistry, P.C. is situated at 1439 Stillwater Ave Ste 7, in the city of Cheyenne, state of WY, with the zip code 820097367.

What is the area of specialization for Pediatric Dentistry, P.C., and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Pediatric Dentistry, P.C. is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.

On what date did Pediatric Dentistry, P.C. receive its 1326118993 assignment from the Centers for Medicare & Medicaid Services?

The Pediatric Dentistry, P.C. was assigned its 1326118993 on 2006-11-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Pediatric Dentistry, P.C.'s details last updated?

The information pertaining to the Pediatric Dentistry, P.C., including its address, specialty, and other details, was most recently updated on 2020-08-22.

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