Scoresby Pediatric Dental in Chandler - Pediatric Dentistry

Scoresby Pediatric Dental - NPI 1417176199

Scoresby Pediatric Dental is a Pediatric Dentistry in Chandler, Arizona. Scoresby Pediatric Dental practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Scoresby Pediatric Dental is 1417176199. The last update date is 2018-02-19.

Scoresby Pediatric Dental's current location address is 2095 W Frye Rd Ste 2, Chandler, Arizona. You can contact this provider via phone number 4808558315 and fax number 4808558316. The mailing address for Scoresby Pediatric Dental is 2095 W Frye Rd Ste 2, Chandler, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Scoresby Pediatric Dental
Address 2095 W Frye Rd Ste 2, Chandler, Arizona
Phone Number 4808558315
Fax Number 4808558316
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Scoresby William Robert
Credentials DDS
Telephone Number 4808558315

NPI Number Detail

NPI Number 1417176199
Provider Enumeration Date 2007-04-24
Last Updated Date 2018-02-19

Provider Mailing Address Detail

Address 2095 W Frye Rd Ste 2
City Chandler
State Arizona (AZ)
Post Code 852246280
Phone Number 4808558315
Fax Number 4808558316

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No D7962
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
535113 AZ --
814503 AZ --

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FAQs about Scoresby Pediatric Dental

What is the unique 10-digit identification code assigned to Scoresby Pediatric Dental by the Centers for Medicare & Medicaid Services?

The Scoresby Pediatric Dental has been issued the NPI (National Provider Identifier) 1417176199, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Scoresby Pediatric Dental located?

The Scoresby Pediatric Dental is located at 2095 W Frye Rd Ste 2, Chandler, AZ 852246280.

What is the Scoresby Pediatric Dental's area of specialization and corresponding taxonomy classification?

The Scoresby Pediatric Dental's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.

When did the Scoresby Pediatric Dental receive its 1417176199?

The Scoresby Pediatric Dental was issued its 1417176199 on 2007-04-24, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Scoresby Pediatric Dental most recently updated or revised?

The details related to Scoresby Pediatric Dental, including its address, specialty, and other relevant information, were last updated or revised on 2018-02-19.

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