On Site Dental, Pc in Camp Verde - Pediatric Dentistry
On Site Dental, Pc - NPI 1487794798
On Site Dental, Pc is a Pediatric Dentistry in Camp Verde, Arizona. On Site Dental, Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for On Site Dental, Pc is 1487794798. The last update date is 2020-08-22.
On Site Dental, Pc's current location address is Po Box 767, Camp Verde, Arizona. You can contact this provider via phone number 9285671832 and fax number 9285676500. The mailing address for On Site Dental, Pc is Po Box 767, Camp Verde, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | On Site Dental, Pc |
|---|---|
| Address | Po Box 767, Camp Verde, Arizona |
| Phone Number | 9285671832 |
| Fax Number | 9285676500 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hisrich J. James |
| Credentials | DDS |
| Telephone Number | 9285671832 |
NPI Number Detail
| NPI Number | 1487794798 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 767 |
|---|---|
| City | Camp Verde |
| State | Arizona (AZ) |
| Post Code | 863220767 |
| Phone Number | 9285671832 |
| Fax Number | 9285676500 |
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 |
|---|---|---|---|
| G2381 | NM | -- | |
| 723157 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to On Site Dental, Pc by the Centers for Medicare & Medicaid Services?
The On Site Dental, Pc has been assigned the NPI (National Provider Identifier) 1487794798 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where On Site Dental, Pc is geographically located?
The On Site Dental, Pc is physically situated at the following location: Po Box 767, Camp Verde, AZ, 863220767.
What is On Site Dental, Pc's area of expertise and its corresponding taxonomy classification?
The On Site Dental, Pc's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1487794798 to On Site Dental, Pc?
The Centers for Medicare & Medicaid Services assigned the 1487794798 to On Site Dental, Pc on 2007-02-07.
As of what date was the information regarding On Site Dental, Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to On Site Dental, Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.