Ut Pediatric Dentistry in West Memphis - Pediatric Dentistry
Ut Pediatric Dentistry - NPI 1407988116
Ut Pediatric Dentistry is a Pediatric Dentistry in West Memphis, Arkansas. Ut Pediatric Dentistry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Ut Pediatric Dentistry is 1407988116. The last update date is 2009-03-19.
Ut Pediatric Dentistry's current location address is 200 W Tyler Ave, West Memphis, Arkansas. You can contact this provider via phone number 8707333854 and fax number 8707333851. The mailing address for Ut Pediatric Dentistry is 200 W Tyler Ave, West Memphis, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ut Pediatric Dentistry |
|---|---|
| Address | 200 W Tyler Ave, West Memphis, Arkansas |
| Phone Number | 8707333854 |
| Fax Number | 8707333851 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHAIR |
|---|---|
| Authorized Official Name | Fenton Jay Sanford |
| Credentials | D.D.S. |
| Telephone Number | 8707333854 |
NPI Number Detail
| NPI Number | 1407988116 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2009-03-19 |
Provider Mailing Address Detail
| Address | 200 W Tyler Ave |
|---|---|
| City | West Memphis |
| State | Arkansas (AR) |
| Post Code | 723014223 |
| Phone Number | 8707333854 |
| Fax Number | 8707333851 |
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 |
|---|---|---|---|
| 150226608 | AR | -- | |
| 107199608 | AR | -- | |
| 111494608 | AR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ut Pediatric Dentistry?
The Ut Pediatric Dentistry has been issued the NPI (National Provider Identifier) 1407988116 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Ut Pediatric Dentistry?
The Ut Pediatric Dentistry is situated at 200 W Tyler Ave, in the city of West Memphis, state of AR, with the zip code 723014223.
What is Ut Pediatric Dentistry's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ut Pediatric Dentistry is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
When did Ut Pediatric Dentistry receive its 1407988116 assignment?
The Ut Pediatric Dentistry was assigned its 1407988116 on 2007-03-09, which is the date when this unique identifier was issued to the organization.
When was the information regarding Ut Pediatric Dentistry, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ut Pediatric Dentistry, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-03-19.
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