Christian Mathew Thomas in Bushnell - Pediatric Dentistry
Christian Mathew Thomas - NPI 1689862674
Christian Mathew Thomas is a Pediatric Dentistry in Bushnell, Florida. Christian Mathew Thomas practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Christian Mathew Thomas is 1689862674. The last update date is 2023-02-13.
Christian Mathew Thomas's current location address is 4602 Cr 673 # 10210, Bushnell, Florida. You can contact this provider via phone number 9548170231. The mailing address for Christian Mathew Thomas is 4602 Cr 673 # 10210, Bushnell, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christian Mathew Thomas |
|---|---|
| Address | 4602 Cr 673 # 10210, Bushnell, Florida |
| Phone Number | 9548170231 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1689862674 |
|---|---|
| Provider Enumeration Date | 2007-10-04 |
| Last Updated Date | 2023-02-13 |
Provider Mailing Address Detail
| Address | 4602 Cr 673 # 10210 |
|---|---|
| City | Bushnell |
| State | Florida (FL) |
| Post Code | 335138358 |
| Phone Number | 9548170231 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DN13411 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 71515800 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Christian Mathew Thomas by the Centers for Medicare & Medicaid Services?
The Christian Mathew Thomas has been issued the NPI (National Provider Identifier) 1689862674. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Christian Mathew Thomas is located?
The Christian Mathew Thomas is situated at the following address: 4602 Cr 673 # 10210, Bushnell, FL, 335138358.
What is the area of specialization for Christian Mathew Thomas, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Christian Mathew Thomas is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date did the Christian Mathew Thomas receive its 1689862674 assignment from the Centers for Medicare & Medicaid Services?
The Christian Mathew Thomas was assigned its 1689862674 by the Centers for Medicare & Medicaid Services on 2007-10-04.
As of what date were the details related to Christian Mathew Thomas most recently updated or revised?
The information pertaining to Christian Mathew Thomas, including its address, specialty, and other relevant details, was last updated or revised on 2023-02-13.