Pediatric Dental Associates in Gadsden - Pediatric Dentistry
Pediatric Dental Associates - NPI 1265612469
Pediatric Dental Associates is a Pediatric Dentistry in Gadsden, Alabama. Pediatric Dental Associates practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dental Associates is 1265612469. The last update date is 2018-06-21.
Pediatric Dental Associates's current location address is 404 S 5th St, Gadsden, Alabama. You can contact this provider via phone number 2565464604 and fax number 2565464674. The mailing address for Pediatric Dental Associates is 404 S 5th St, Gadsden, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dental Associates |
|---|---|
| Address | 404 S 5th St, Gadsden, Alabama |
| Phone Number | 2565464604 |
| Fax Number | 2565464674 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Holmes A Michael |
| Credentials | DDS |
| Telephone Number | 2565464604 |
NPI Number Detail
| NPI Number | 1265612469 |
|---|---|
| Provider Enumeration Date | 2007-11-06 |
| Last Updated Date | 2018-06-21 |
Provider Mailing Address Detail
| Address | 404 S 5th St |
|---|---|
| City | Gadsden |
| State | Alabama (AL) |
| Post Code | 359015102 |
| Phone Number | 2565464604 |
| Fax Number | 2565464674 |
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 |
|---|---|---|---|
| 51516050 | AL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Pediatric Dental Associates's unique identification number?
The Pediatric Dental Associates has been assigned the NPI (National Provider Identifier) Number 1265612469 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Pediatric Dental Associates's physical address?
The Pediatric Dental Associates is physically located at 404 S 5Th St, in the city of Gadsden, AL, with the postal code 359015102.
What is Pediatric Dental Associates's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pediatric Dental Associates is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1265612469 to Pediatric Dental Associates?
The Pediatric Dental Associates received its 1265612469 assignment from the Centers for Medicare & Medicaid Services on 2007-11-06.
When was the Pediatric Dental Associates's information last updated?
The Pediatric Dental Associates's information was last updated on 2018-06-21.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA