Pediatric Dentistry East, Llc in Trussville - Pediatric Dentistry
Pediatric Dentistry East, Llc - NPI 1326232364
Pediatric Dentistry East, Llc is a Pediatric Dentistry in Trussville, Alabama. Pediatric Dentistry East, Llc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dentistry East, Llc is 1326232364. The last update date is 2007-09-04.
Pediatric Dentistry East, Llc's current location address is 123 N Chalkville Rd, Trussville, Alabama. You can contact this provider via phone number 2056551000 and fax number 2052288044. The mailing address for Pediatric Dentistry East, Llc is 123 N Chalkville Rd, Trussville, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dentistry East, Llc |
|---|---|
| Address | 123 N Chalkville Rd, Trussville, Alabama |
| Phone Number | 2056551000 |
| Fax Number | 2052288044 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Young Nimer Sue |
| Credentials | D.M.D |
| Telephone Number | 2056551000 |
NPI Number Detail
| NPI Number | 1326232364 |
|---|---|
| Provider Enumeration Date | 2007-09-04 |
| Last Updated Date | 2007-09-04 |
Provider Mailing Address Detail
| Address | 123 N Chalkville Rd |
|---|---|
| City | Trussville |
| State | Alabama (AL) |
| Post Code | 351731376 |
| Phone Number | 2056551000 |
| Fax Number | 2052288044 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 4655 |
|
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. |
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What is the unique 10-digit identification code issued to Pediatric Dentistry East, Llc by the Centers for Medicare & Medicaid Services?
The Pediatric Dentistry East, Llc has been assigned the NPI (National Provider Identifier) 1326232364 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Pediatric Dentistry East, Llc's facilities are situated?
The facilities of Pediatric Dentistry East, Llc are physically located at the following address: 123 N Chalkville Rd, Trussville, AL, 351731376.
What is Pediatric Dentistry East, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pediatric Dentistry East, Llc is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services assign the 1326232364 to Pediatric Dentistry East, Llc?
The Centers for Medicare & Medicaid Services assigned the 1326232364 to Pediatric Dentistry East, Llc on 2007-09-04.
As of what date were the details related to Pediatric Dentistry East, Llc most recently updated or revised?
The information pertaining to Pediatric Dentistry East, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-04.