Main Street Children'S Dentistry Of Jupiter, Pa in Jupiter - Pediatric Dentistry
Main Street Children'S Dentistry Of Jupiter, Pa - NPI 1487766838
Main Street Children'S Dentistry Of Jupiter, Pa is a Pediatric Dentistry in Jupiter, Florida. Main Street Children'S Dentistry Of Jupiter, Pa practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Main Street Children'S Dentistry Of Jupiter, Pa is 1487766838. The last update date is 2014-08-21.
Main Street Children'S Dentistry Of Jupiter, Pa's current location address is 5440 Military Trail Suite 11, Jupiter, Florida. You can contact this provider via phone number 5617452881. The mailing address for Main Street Children'S Dentistry Of Jupiter, Pa is 5440 Military Trail Suite 11, Jupiter, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Main Street Children'S Dentistry Of Jupiter, Pa |
|---|---|
| Address | 5440 Military Trail Suite 11, Jupiter, Florida |
| Phone Number | 5617452881 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROVIDER R |
|---|---|
| Authorized Official Name | Gomez Stephanie |
| Telephone Number | 3052742499 |
NPI Number Detail
| NPI Number | 1487766838 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2014-08-21 |
Provider Mailing Address Detail
| Address | 5440 Military Trail Suite 11 |
|---|---|
| City | Jupiter |
| State | Florida (FL) |
| Post Code | 33458 |
| Phone Number | 5617452881 |
| Fax Number |
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 unique 10-digit identifier code issued to Main Street Children'S Dentistry Of Jupiter, Pa by the Centers for Medicare & Medicaid Services?
The Main Street Children'S Dentistry Of Jupiter, Pa has been assigned the NPI (National Provider Identifier) 1487766838 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Main Street Children'S Dentistry Of Jupiter, Pa is physically located?
The Main Street Children'S Dentistry Of Jupiter, Pa is physically situated at the following address: 5440 Military Trail Suite 11, Jupiter, FL, 33458.
What is the area of specialization for Main Street Children'S Dentistry Of Jupiter, Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Main Street Children'S Dentistry Of Jupiter, Pa is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date did the Main Street Children'S Dentistry Of Jupiter, Pa receive the assignment of its 1487766838 from the Centers for Medicare & Medicaid Services?
The Main Street Children'S Dentistry Of Jupiter, Pa was issued its 1487766838 by the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date was the information regarding Main Street Children'S Dentistry Of Jupiter, Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Main Street Children'S Dentistry Of Jupiter, Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-08-21.