Patra P Watana in Greenwood Village - Pediatric Dentistry

Patra P Watana - NPI 1982788527

Patra P Watana is a Pediatric Dentistry in Greenwood Village, Colorado. Patra P Watana practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Patra P Watana is 1982788527. The last update date is 2014-04-19.

Patra P Watana's current location address is 8200 E Belleview Ave #420e, Greenwood Village, Colorado. You can contact this provider via phone number 3037407088 and fax number 3037400091. The mailing address for Patra P Watana is 8200 E Belleview Ave #420e, Greenwood Village, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Patra P Watana
Address 8200 E Belleview Ave #420e, Greenwood Village, Colorado
Phone Number 3037407088
Fax Number 3037400091
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1982788527
Provider Enumeration Date 2006-10-24
Last Updated Date 2014-04-19

Provider Mailing Address Detail

Address 8200 E Belleview Ave #420e
City Greenwood Village
State Colorado (CO)
Post Code 80111
Phone Number 3037407088
Fax Number 3037400091

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No C06614
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
2066140 CO --

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FAQs about Patra P Watana

What is the unique 10-digit identification code assigned to Patra P Watana by the Centers for Medicare & Medicaid Services?

The Patra P Watana has been issued the NPI (National Provider Identifier) 1982788527, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Patra P Watana is physically located?

The Patra P Watana is physically situated at the following address: 8200 E Belleview Ave #420E, Greenwood Village, CO, 80111.

What is Patra P Watana's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Patra P Watana'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 Patra P Watana receive the assignment of its 1982788527 from the Centers for Medicare & Medicaid Services?

The Patra P Watana was issued its 1982788527 by the Centers for Medicare & Medicaid Services on 2006-10-24.

When was the Patra P Watana's information last updated?

The Patra P Watana's information was last updated on 2014-04-19.

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