Kristin Cavanah Mirda in Melbourne - Pediatric Dentistry

Kristin Cavanah Mirda - NPI 1225144017

Kristin Cavanah Mirda is a Pediatric Dentistry in Melbourne, Florida. Kristin Cavanah Mirda practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kristin Cavanah Mirda is 1225144017. The last update date is 2010-04-28.

Kristin Cavanah Mirda's current location address is 8061 Spyglass Hill Rd, Melbourne, Florida. You can contact this provider via phone number 3216226255 and fax number 3216226254. The mailing address for Kristin Cavanah Mirda is 8061 Spyglass Hill Rd, Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristin Cavanah Mirda
Address 8061 Spyglass Hill Rd, Melbourne, Florida
Phone Number 3216226255
Fax Number 3216226254
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1225144017
Provider Enumeration Date 2006-08-22
Last Updated Date 2010-04-28

Provider Mailing Address Detail

Address 8061 Spyglass Hill Rd
City Melbourne
State Florida (FL)
Post Code 329408297
Phone Number 3216226255
Fax Number 3216226254

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No DN17649
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 Kristin Cavanah Mirda

What is the unique identifier code issued to Kristin Cavanah Mirda by the Centers for Medicare & Medicaid Services (CMS)?

The Kristin Cavanah Mirda has been assigned the NPI (National Provider Identifier) 1225144017. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Kristin Cavanah Mirda is physically located?

The Kristin Cavanah Mirda is situated at the following address: 8061 Spyglass Hill Rd, Melbourne, FL 329408297.

What is Kristin Cavanah Mirda's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kristin Cavanah Mirda is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.

On what date did Kristin Cavanah Mirda receive its 1225144017 assignment from the Centers for Medicare & Medicaid Services?

The Kristin Cavanah Mirda was assigned its 1225144017 on 2006-08-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Kristin Cavanah Mirda's details last updated?

The information pertaining to the Kristin Cavanah Mirda, including its address, specialty, and other details, was most recently updated on 2010-04-28.

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