Serese Cannon Brooks in Sanford - Pediatric Dentistry

Serese Cannon Brooks - NPI 1285842658

Serese Cannon Brooks is a Pediatric Dentistry in Sanford, Florida. Serese Cannon Brooks practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Serese Cannon Brooks is 1285842658. The last update date is 2021-05-27.

Serese Cannon Brooks's current location address is 4930 E Lake Mary Blvd, Sanford, Florida. You can contact this provider via phone number 4073228645 and fax number 4073057048. The mailing address for Serese Cannon Brooks is 4930 E Lake Mary Blvd, Sanford, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Serese Cannon Brooks
Address 4930 E Lake Mary Blvd, Sanford, Florida
Phone Number 4073228645
Fax Number 4073057048
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1285842658
Provider Enumeration Date 2007-05-18
Last Updated Date 2021-05-27

Provider Mailing Address Detail

Address 4930 E Lake Mary Blvd
City Sanford
State Florida (FL)
Post Code 327715003
Phone Number 4073228645
Fax Number 4073057048

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No DN23213
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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FAQs about Serese Cannon Brooks

What is the unique identifier code issued to Serese Cannon Brooks by the Centers for Medicare & Medicaid Services (CMS)?

The Serese Cannon Brooks has been assigned the NPI (National Provider Identifier) 1285842658. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Serese Cannon Brooks is located?

The Serese Cannon Brooks is situated at the following address: 4930 E Lake Mary Blvd, Sanford, FL, 327715003.

What is Serese Cannon Brooks's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Serese Cannon Brooks is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.

When was the Serese Cannon Brooks's 1285842658 issued?

The Serese Cannon Brooks's 1285842658 was issued on 2007-05-18.

As of what date were the details pertaining to Serese Cannon Brooks last refreshed?

The information related to the Serese Cannon Brooks, including its address, specialty, and other relevant details, was last updated on 2021-05-27.

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