Paul J Engibous in Anchorage - Pediatric Dentistry
Paul J Engibous - NPI 1689733750
Paul J Engibous is a Pediatric Dentistry in Anchorage, Alaska. Paul J Engibous practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Paul J Engibous is 1689733750. The last update date is 2007-07-08.
Paul J Engibous's current location address is 330 E Tudor Rd, Anchorage, Alaska. You can contact this provider via phone number 9075221567 and fax number 9073449036. The mailing address for Paul J Engibous is 330 E Tudor Rd, Anchorage, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul J Engibous |
|---|---|
| Address | 330 E Tudor Rd, Anchorage, Alaska |
| Phone Number | 9075221567 |
| Fax Number | 9073449036 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1689733750 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 330 E Tudor Rd |
|---|---|
| City | Anchorage |
| State | Alaska (AK) |
| Post Code | 99503 |
| Phone Number | 9075221567 |
| Fax Number | 9073449036 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 918 |
|
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 |
|---|---|---|---|
| DD0918 | AK | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Paul J Engibous?
The Paul J Engibous has been issued the NPI (National Provider Identifier) 1689733750 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Paul J Engibous?
The Paul J Engibous is physically situated at 330 E Tudor Rd, in the city of Anchorage, state of AK, with the postal code 99503.
What is Paul J Engibous's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Paul J Engibous's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689733750 to Paul J Engibous?
The Centers for Medicare & Medicaid Services originally issued the 1689733750 to Paul J Engibous on 2006-12-06.
As of what date were the details pertaining to Paul J Engibous last refreshed?
The information related to the Paul J Engibous, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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