Dentistry For Children Pllc in Mesa - Pediatric Dentistry
Dentistry For Children Pllc - NPI 1154540367
Dentistry For Children Pllc is a Pediatric Dentistry in Mesa, Arizona. Dentistry For Children Pllc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Dentistry For Children Pllc is 1154540367. The last update date is 2020-08-22.
Dentistry For Children Pllc's current location address is 1245 E Southern Ave, Mesa, Arizona. You can contact this provider via phone number 4806106544 and fax number 4806330670. The mailing address for Dentistry For Children Pllc is 1245 E Southern Ave, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dentistry For Children Pllc |
|---|---|
| Address | 1245 E Southern Ave, Mesa, Arizona |
| Phone Number | 4806106544 |
| Fax Number | 4806330670 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE SUP |
|---|---|
| Authorized Official Name | Keene Sharron |
| Telephone Number | 4806106544 |
NPI Number Detail
| NPI Number | 1154540367 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1245 E Southern Ave |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852045137 |
| Phone Number | 4806106544 |
| Fax Number | 4806330670 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 5589 |
|
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 identifier code assigned to Dentistry For Children Pllc by the Centers for Medicare & Medicaid Services?
The Dentistry For Children Pllc has been issued the NPI (National Provider Identifier) 1154540367 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Dentistry For Children Pllc's physical address?
The Dentistry For Children Pllc is physically located at 1245 E Southern Ave, in the city of Mesa, AZ, with the postal code 852045137.
What is the Dentistry For Children Pllc's area of specialization and corresponding taxonomy classification?
The Dentistry For Children Pllc's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1154540367 to Dentistry For Children Pllc?
The Centers for Medicare & Medicaid Services assigned the 1154540367 to Dentistry For Children Pllc on 2007-04-25.
When was the information regarding Dentistry For Children Pllc most recently updated?
The details pertaining to the Dentistry For Children Pllc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.