Kenneth Douglas Greenstadt in Torrance - Pediatric Dentistry
Kenneth Douglas Greenstadt - NPI 1538140595
Kenneth Douglas Greenstadt is a Pediatric Dentistry in Torrance, California. Kenneth Douglas Greenstadt practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kenneth Douglas Greenstadt is 1538140595. The last update date is 2007-07-08.
Kenneth Douglas Greenstadt's current location address is 3565 Torrance Blvd, Torrance, California. You can contact this provider via phone number 3107926262 and fax number 3107926203. The mailing address for Kenneth Douglas Greenstadt is 3565 Torrance Blvd, Torrance, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Douglas Greenstadt |
|---|---|
| Address | 3565 Torrance Blvd, Torrance, California |
| Phone Number | 3107926262 |
| Fax Number | 3107926203 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1538140595 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3565 Torrance Blvd |
|---|---|
| City | Torrance |
| State | California (CA) |
| Post Code | 905034847 |
| Phone Number | 3107926262 |
| Fax Number | 3107926203 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 24300 |
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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 identification code issued to Kenneth Douglas Greenstadt by the Centers for Medicare & Medicaid Services?
The Kenneth Douglas Greenstadt has been assigned the NPI (National Provider Identifier) 1538140595 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Kenneth Douglas Greenstadt is physically located?
The Kenneth Douglas Greenstadt is situated at the following address: 3565 Torrance Blvd, Torrance, CA 905034847.
What is Kenneth Douglas Greenstadt's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth Douglas Greenstadt'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 Kenneth Douglas Greenstadt receive the assignment of its 1538140595 from the Centers for Medicare & Medicaid Services?
The Kenneth Douglas Greenstadt was issued its 1538140595 by the Centers for Medicare & Medicaid Services on 2005-11-08.
As of what date was the information regarding Kenneth Douglas Greenstadt, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kenneth Douglas Greenstadt, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.