Angel M Guardiola in Jonesboro - Pediatric Dentistry
Angel M Guardiola - NPI 1689791519
Angel M Guardiola is a Pediatric Dentistry in Jonesboro, Georgia. Angel M Guardiola practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Angel M Guardiola is 1689791519. The last update date is 2007-07-08.
Angel M Guardiola's current location address is 405 Arrowhead Blvd, Jonesboro, Georgia. You can contact this provider via phone number 7704712003. The mailing address for Angel M Guardiola is 405 Arrowhead Blvd, Jonesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angel M Guardiola |
|---|---|
| Address | 405 Arrowhead Blvd, Jonesboro, Georgia |
| Phone Number | 7704712003 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1689791519 |
|---|---|
| Provider Enumeration Date | 2007-03-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 405 Arrowhead Blvd |
|---|---|
| City | Jonesboro |
| State | Georgia (GA) |
| Post Code | 302361254 |
| Phone Number | 7704712003 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 8188 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Angel M Guardiola?
The Angel M Guardiola has been issued the NPI (National Provider Identifier) 1689791519 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Angel M Guardiola's facilities are geographically located?
The facilities of Angel M Guardiola are physically situated at the following location: 405 Arrowhead Blvd, Jonesboro, GA, 302361254.
What is the area of specialization for Angel M Guardiola, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Angel M Guardiola is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1689791519 to Angel M Guardiola?
The Angel M Guardiola received its 1689791519 assignment from the Centers for Medicare & Medicaid Services on 2007-03-24.
As of what date were the details related to Angel M Guardiola most recently updated or revised?
The information pertaining to Angel M Guardiola, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.