Dentistry For Children in Jonesboro - Pediatric Dentistry
Dentistry For Children - NPI 1164411674
Dentistry For Children is a Pediatric Dentistry in Jonesboro, Georgia. Dentistry For Children practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Dentistry For Children is 1164411674. The last update date is 2020-08-22.
Dentistry For Children's current location address is 435 Arrowhead Blvd, Jonesboro, Georgia. You can contact this provider via phone number 7704788700 and fax number 7704738766. The mailing address for Dentistry For Children is 435 Arrowhead Blvd, Jonesboro, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dentistry For Children |
|---|---|
| Address | 435 Arrowhead Blvd, Jonesboro, Georgia |
| Phone Number | 7704788700 |
| Fax Number | 7704738766 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Levitt Jay |
| Credentials | DDS |
| Telephone Number | 7704788400 |
NPI Number Detail
| NPI Number | 1164411674 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 435 Arrowhead Blvd |
|---|---|
| City | Jonesboro |
| State | Georgia (GA) |
| Post Code | 302361219 |
| Phone Number | 7704788700 |
| Fax Number | 7704738766 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
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 10-digit identifier code issued to Dentistry For Children by the Centers for Medicare & Medicaid Services?
The Dentistry For Children has been assigned the NPI (National Provider Identifier) 1164411674 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Dentistry For Children's facilities are geographically located?
The facilities of Dentistry For Children are physically situated at the following location: 435 Arrowhead Blvd, Jonesboro, GA, 302361219.
What is Dentistry For Children's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dentistry For Children 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 1164411674 to Dentistry For Children?
The Dentistry For Children received its 1164411674 assignment from the Centers for Medicare & Medicaid Services on 2005-10-18.
As of what date were the details related to Dentistry For Children most recently updated or revised?
The information pertaining to Dentistry For Children, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.