Childrens Dental Care Center in Hacienda Heights - Pediatric Dentistry

Childrens Dental Care Center - NPI 1205021664

Childrens Dental Care Center is a Pediatric Dentistry in Hacienda Heights, California. Childrens Dental Care Center practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Childrens Dental Care Center is 1205021664. The last update date is 2007-09-10.

Childrens Dental Care Center's current location address is 2219 S Hacienda Blvd, Hacienda Heights, California. You can contact this provider via phone number 6263691177 and fax number 6263691186. The mailing address for Childrens Dental Care Center is 2219 S Hacienda Blvd, Hacienda Heights, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Childrens Dental Care Center
Address 2219 S Hacienda Blvd, Hacienda Heights, California
Phone Number 6263691177
Fax Number 6263691186
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE OWN
Authorized Official Name Chiang J Chen Der
Credentials DDS
Telephone Number 6263691177

NPI Number Detail

NPI Number 1205021664
Provider Enumeration Date 2007-09-10
Last Updated Date 2007-09-10

Provider Mailing Address Detail

Address 2219 S Hacienda Blvd
City Hacienda Heights
State California (CA)
Post Code 91745
Phone Number 6263691177
Fax Number 6263691186

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No B38660
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
B3866001 CA --

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FAQs about Childrens Dental Care Center

What is the unique identifier code issued to Childrens Dental Care Center by the Centers for Medicare & Medicaid Services (CMS)?

The Childrens Dental Care Center has been assigned the NPI (National Provider Identifier) 1205021664. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Childrens Dental Care Center?

The Childrens Dental Care Center is physically situated at 2219 S Hacienda Blvd, in the city of Hacienda Heights, state of CA, with the postal code 91745.

What is the area of specialization for Childrens Dental Care Center, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Childrens Dental Care Center 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 1205021664 to Childrens Dental Care Center?

The Centers for Medicare & Medicaid Services originally issued the 1205021664 to Childrens Dental Care Center on 2007-09-10.

As of what date was the information regarding Childrens Dental Care Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Childrens Dental Care Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-10.

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