Petula Hom-Minniti in Alpharetta - Pediatric Dentistry

Petula Hom-Minniti - NPI 1033264742

Petula Hom-Minniti is a Pediatric Dentistry in Alpharetta, Georgia. Petula Hom-Minniti practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Petula Hom-Minniti is 1033264742. The last update date is 2012-09-11.

Petula Hom-Minniti's current location address is 270 Saint Claire Dr, Alpharetta, Georgia. You can contact this provider via phone number 6789908592 and fax number 6789908594. The mailing address for Petula Hom-Minniti is 270 Saint Claire Dr, Alpharetta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Petula Hom-Minniti
Address 270 Saint Claire Dr, Alpharetta, Georgia
Phone Number 6789908592
Fax Number 6789908594
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1033264742
Provider Enumeration Date 2007-01-24
Last Updated Date 2012-09-11

Provider Mailing Address Detail

Address 270 Saint Claire Dr
City Alpharetta
State Georgia (GA)
Post Code 300045728
Phone Number 6789908592
Fax Number 6789908594

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No DN012900
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
9179479 GA --
100300 GA --
1765417 GA UNITED CONCORDIA

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FAQs about Petula Hom-Minniti

What is the unique provider identifier assigned to Petula Hom-Minniti?

The Petula Hom-Minniti has been issued the NPI (National Provider Identifier) 1033264742 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 address where Petula Hom-Minniti is geographically located?

The Petula Hom-Minniti is physically situated at the following location: 270 Saint Claire Dr, Alpharetta, GA, 300045728.

What is Petula Hom-Minniti's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Petula Hom-Minniti is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services issue the 1033264742 to Petula Hom-Minniti?

The Petula Hom-Minniti received its 1033264742 assignment from the Centers for Medicare & Medicaid Services on 2007-01-24.

As of what date was the information regarding Petula Hom-Minniti, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Petula Hom-Minniti, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-09-11.

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