Childrens Dentistry Pa in Palm Beach Gardens - Pediatric Dentistry
Childrens Dentistry Pa - NPI 1316094485
Childrens Dentistry Pa is a Pediatric Dentistry in Palm Beach Gardens, Florida. Childrens Dentistry Pa practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Childrens Dentistry Pa is 1316094485. The last update date is 2020-08-22.
Childrens Dentistry Pa's current location address is 200 Village Square Xing, Palm Beach Gardens, Florida. You can contact this provider via phone number 5616269887 and fax number 5616274451. The mailing address for Childrens Dentistry Pa is 200 Village Square Xing, Palm Beach Gardens, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Childrens Dentistry Pa |
|---|---|
| Address | 200 Village Square Xing, Palm Beach Gardens, Florida |
| Phone Number | 5616269887 |
| Fax Number | 5616274451 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Bendeck Rodolfo Oscar |
| Telephone Number | 5616269887 |
NPI Number Detail
| NPI Number | 1316094485 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 200 Village Square Xing |
|---|---|
| City | Palm Beach Gardens |
| State | Florida (FL) |
| Post Code | 334103224 |
| Phone Number | 5616269887 |
| Fax Number | 5616274451 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DN10445 |
|
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 provider identifier assigned to Childrens Dentistry Pa?
The Childrens Dentistry Pa has been issued the NPI (National Provider Identifier) 1316094485 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Childrens Dentistry Pa's facilities are situated?
The facilities of Childrens Dentistry Pa are physically located at the following address: 200 Village Square Xing, Palm Beach Gardens, FL, 334103224.
What is Childrens Dentistry Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Childrens Dentistry Pa's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
When did Childrens Dentistry Pa receive its 1316094485 assignment?
The Childrens Dentistry Pa was assigned its 1316094485 on 2007-01-04, which is the date when this unique identifier was issued to the organization.
When was the Childrens Dentistry Pa's information last updated?
The Childrens Dentistry Pa's information was last updated on 2020-08-22.
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA