John Edwin Boland in Corte Madera - Pediatric Dentistry
John Edwin Boland - NPI 1992717284
John Edwin Boland is a Pediatric Dentistry in Corte Madera, California. John Edwin Boland practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for John Edwin Boland is 1992717284. The last update date is 2007-07-08.
John Edwin Boland's current location address is 770 Tamalpais Dr, Corte Madera, California. You can contact this provider via phone number 4159277711. The mailing address for John Edwin Boland is 770 Tamalpais Dr, Corte Madera, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Edwin Boland |
|---|---|
| Address | 770 Tamalpais Dr, Corte Madera, California |
| Phone Number | 4159277711 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1992717284 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 770 Tamalpais Dr |
|---|---|
| City | Corte Madera |
| State | California (CA) |
| Post Code | 949251700 |
| Phone Number | 4159277711 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 22784 |
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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 identifier code issued to John Edwin Boland by the Centers for Medicare & Medicaid Services?
The John Edwin Boland has been assigned the NPI (National Provider Identifier) 1992717284 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where John Edwin Boland's facilities are situated?
The facilities of John Edwin Boland are physically located at the following address: 770 Tamalpais Dr, Corte Madera, CA, 949251700.
What is John Edwin Boland's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Edwin Boland is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services assign the 1992717284 to John Edwin Boland?
The Centers for Medicare & Medicaid Services assigned the 1992717284 to John Edwin Boland on 2006-08-13.
As of what date was the information regarding John Edwin Boland, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Edwin Boland, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.