Cynthia L Weideman in Citrus Heights - Pediatric Dentistry
Cynthia L Weideman - NPI 1578555629
Cynthia L Weideman is a Pediatric Dentistry in Citrus Heights, California. Cynthia L Weideman practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Cynthia L Weideman is 1578555629. The last update date is 2007-07-08.
Cynthia L Weideman's current location address is 7916 Pebble Beach Dr, Citrus Heights, California. You can contact this provider via phone number 9169620577 and fax number 9169620584. The mailing address for Cynthia L Weideman is 7916 Pebble Beach Dr, Citrus Heights, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cynthia L Weideman |
|---|---|
| Address | 7916 Pebble Beach Dr, Citrus Heights, California |
| Phone Number | 9169620577 |
| Fax Number | 9169620584 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1578555629 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7916 Pebble Beach Dr |
|---|---|
| City | Citrus Heights |
| State | California (CA) |
| Post Code | 956107790 |
| Phone Number | 9169620577 |
| Fax Number | 9169620584 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 37753 |
|
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 |
|---|---|---|---|
| 528432 | CA | UNITED CONCORDIA |
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What is the unique 10-digit identification code issued to Cynthia L Weideman by the Centers for Medicare & Medicaid Services?
The Cynthia L Weideman has been assigned the NPI (National Provider Identifier) 1578555629 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Cynthia L Weideman located?
The Cynthia L Weideman is located at 7916 Pebble Beach Dr, Citrus Heights, CA 956107790.
What is Cynthia L Weideman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Cynthia L Weideman's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did the Cynthia L Weideman receive its 1578555629 assignment from the Centers for Medicare & Medicaid Services?
The Cynthia L Weideman was assigned its 1578555629 by the Centers for Medicare & Medicaid Services on 2005-08-16.
When was the Cynthia L Weideman's information last updated?
The Cynthia L Weideman's information was last updated on 2007-07-08.
NPI Number: 1104829308
Address: 1009 North State Of Franklin Access Road, Johnson City, TN