Meridian Pediatric Dentistry, Pllc in Meridian - Pediatric Dentistry
Meridian Pediatric Dentistry, Pllc - NPI 1811156722
Meridian Pediatric Dentistry, Pllc is a Pediatric Dentistry in Meridian, Idaho. Meridian Pediatric Dentistry, Pllc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Meridian Pediatric Dentistry, Pllc is 1811156722. The last update date is 2008-06-05.
Meridian Pediatric Dentistry, Pllc's current location address is 1550 E Heritage Park St Ste 150, Meridian, Idaho. You can contact this provider via phone number 2082882719 and fax number 2082882579. The mailing address for Meridian Pediatric Dentistry, Pllc is 1550 E Heritage Park St Ste 150, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Meridian Pediatric Dentistry, Pllc |
|---|---|
| Address | 1550 E Heritage Park St Ste 150, Meridian, Idaho |
| Phone Number | 2082882719 |
| Fax Number | 2082882579 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Merriman Toby |
| Telephone Number | 2082882719 |
NPI Number Detail
| NPI Number | 1811156722 |
|---|---|
| Provider Enumeration Date | 2008-06-05 |
| Last Updated Date | 2008-06-05 |
Provider Mailing Address Detail
| Address | 1550 E Heritage Park St Ste 150 |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836465886 |
| Phone Number | 2082882719 |
| Fax Number | 2082882579 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D-3592-PD |
|
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 |
|---|---|---|---|
| 806274800 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Meridian Pediatric Dentistry, Pllc by the Centers for Medicare & Medicaid Services?
The Meridian Pediatric Dentistry, Pllc has been issued the NPI (National Provider Identifier) 1811156722 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Meridian Pediatric Dentistry, Pllc's facilities are geographically located?
The facilities of Meridian Pediatric Dentistry, Pllc are physically situated at the following location: 1550 E Heritage Park St Ste 150, Meridian, ID, 836465886.
What is Meridian Pediatric Dentistry, Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Meridian Pediatric Dentistry, Pllc's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
When was the Meridian Pediatric Dentistry, Pllc's 1811156722 issued?
The Meridian Pediatric Dentistry, Pllc's 1811156722 was issued on 2008-06-05.
When was the information regarding Meridian Pediatric Dentistry, Pllc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Meridian Pediatric Dentistry, Pllc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-05.