Awesome Smiles, P.C. in Loveland - Pediatric Dentistry
Awesome Smiles, P.C. - NPI 1609904101
Awesome Smiles, P.C. is a Pediatric Dentistry in Loveland, Colorado. Awesome Smiles, P.C. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Awesome Smiles, P.C. is 1609904101. The last update date is 2014-05-13.
Awesome Smiles, P.C.'s current location address is 2700 Madison Square Dr, Loveland, Colorado. You can contact this provider via phone number 9706691122 and fax number 9706691984. The mailing address for Awesome Smiles, P.C. is 2700 Madison Square Dr, Loveland, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Awesome Smiles, P.C. |
|---|---|
| Address | 2700 Madison Square Dr, Loveland, Colorado |
| Phone Number | 9706691122 |
| Fax Number | 9706691984 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Derloshon M. Tobias |
| Credentials | D.D.S. |
| Telephone Number | 9706691122 |
NPI Number Detail
| NPI Number | 1609904101 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2014-05-13 |
Provider Mailing Address Detail
| Address | 2700 Madison Square Dr |
|---|---|
| City | Loveland |
| State | Colorado (CO) |
| Post Code | 805383385 |
| Phone Number | 9706691122 |
| Fax Number | 9706691984 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
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 Awesome Smiles, P.C.'s unique identification number?
The Awesome Smiles, P.C. has been assigned the NPI (National Provider Identifier) Number 1609904101 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Awesome Smiles, P.C.'s physical address?
The Awesome Smiles, P.C. is physically located at 2700 Madison Square Dr, in the city of Loveland, CO, with the postal code 805383385.
What is Awesome Smiles, P.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Awesome Smiles, P.C.'s area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609904101 to Awesome Smiles, P.C.?
The Centers for Medicare & Medicaid Services originally issued the 1609904101 to Awesome Smiles, P.C. on 2007-02-28.
As of what date was the information regarding Awesome Smiles, P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Awesome Smiles, P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-05-13.
NPI Number: 1912900226
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