Myers Pediatric Dentistry Pa in Middleburg - Pediatric Dentistry
Myers Pediatric Dentistry Pa - NPI 1982619425
Myers Pediatric Dentistry Pa is a Pediatric Dentistry in Middleburg, Florida. Myers Pediatric Dentistry Pa practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Myers Pediatric Dentistry Pa is 1982619425. The last update date is 2010-08-17.
Myers Pediatric Dentistry Pa's current location address is 3200 Old Jennings Rd, Middleburg, Florida. You can contact this provider via phone number 9045052010 and fax number 9045052011. The mailing address for Myers Pediatric Dentistry Pa is 3200 Old Jennings Rd, Middleburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Myers Pediatric Dentistry Pa |
|---|---|
| Address | 3200 Old Jennings Rd, Middleburg, Florida |
| Phone Number | 9045052010 |
| Fax Number | 9045052011 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Myers Gary |
| Credentials | DMD |
| Telephone Number | 9045052010 |
NPI Number Detail
| NPI Number | 1982619425 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2010-08-17 |
Provider Mailing Address Detail
| Address | 3200 Old Jennings Rd |
|---|---|
| City | Middleburg |
| State | Florida (FL) |
| Post Code | 320683414 |
| Phone Number | 9045052010 |
| Fax Number | 9045052011 |
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85410 | BLUE CROSS BLUE SHIELD | ||
| 1770740 | FL | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Myers Pediatric Dentistry Pa by the Centers for Medicare & Medicaid Services?
The Myers Pediatric Dentistry Pa has been issued the NPI (National Provider Identifier) 1982619425 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Myers Pediatric Dentistry Pa's facilities are geographically located?
The facilities of Myers Pediatric Dentistry Pa are physically situated at the following location: 3200 Old Jennings Rd, Middleburg, FL, 320683414.
What is the Myers Pediatric Dentistry Pa's specialty and taxonomy code?
The Myers Pediatric Dentistry Pa's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did the Myers Pediatric Dentistry Pa receive its 1982619425 assignment from the Centers for Medicare & Medicaid Services?
The Myers Pediatric Dentistry Pa was assigned its 1982619425 by the Centers for Medicare & Medicaid Services on 2006-07-31.
When was the information pertaining to Myers Pediatric Dentistry Pa most recently updated or revised?
The details related to Myers Pediatric Dentistry Pa, including its address, specialty, and other relevant information, were last updated or revised on 2010-08-17.
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