Mitzi M Wasden in Cottonwood - Pediatric Dentistry
Mitzi M Wasden - NPI 1184622565
Mitzi M Wasden is a Pediatric Dentistry in Cottonwood, Arizona. Mitzi M Wasden practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Mitzi M Wasden is 1184622565. The last update date is 2017-01-31.
Mitzi M Wasden's current location address is 10 N Alamos Dr, Cottonwood, Arizona. You can contact this provider via phone number 9286346641 and fax number 9286344141. The mailing address for Mitzi M Wasden is 10 N Alamos Dr, Cottonwood, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitzi M Wasden |
|---|---|
| Address | 10 N Alamos Dr, Cottonwood, Arizona |
| Phone Number | 9286346641 |
| Fax Number | 9286344141 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1184622565 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2017-01-31 |
Provider Mailing Address Detail
| Address | 10 N Alamos Dr |
|---|---|
| City | Cottonwood |
| State | Arizona (AZ) |
| Post Code | 863264020 |
| Phone Number | 9286346641 |
| Fax Number | 9286344141 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 6449 |
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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 Mitzi M Wasden by the Centers for Medicare & Medicaid Services?
The Mitzi M Wasden has been assigned the NPI (National Provider Identifier) 1184622565 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Mitzi M Wasden is physically located?
The Mitzi M Wasden is situated at the following address: 10 N Alamos Dr, Cottonwood, AZ 863264020.
What is the area of specialization for Mitzi M Wasden, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mitzi M Wasden is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184622565 to Mitzi M Wasden?
The Centers for Medicare & Medicaid Services originally issued the 1184622565 to Mitzi M Wasden on 2005-07-11.
When was the information regarding Mitzi M Wasden most recently updated?
The details pertaining to the Mitzi M Wasden, including its address, specialty, and other relevant information, were last refreshed on 2017-01-31.