Palouse Pediatric Dentistry in Moscow - Pediatric Dentistry
Palouse Pediatric Dentistry - NPI 1013175595
Palouse Pediatric Dentistry is a Pediatric Dentistry in Moscow, Idaho. Palouse Pediatric Dentistry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Palouse Pediatric Dentistry is 1013175595. The last update date is 2008-05-30.
Palouse Pediatric Dentistry's current location address is 1246 W A St, Moscow, Idaho. You can contact this provider via phone number 2088829999 and fax number 2088829998. The mailing address for Palouse Pediatric Dentistry is 1246 W A St, Moscow, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Palouse Pediatric Dentistry |
|---|---|
| Address | 1246 W A St, Moscow, Idaho |
| Phone Number | 2088829999 |
| Fax Number | 2088829998 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Sept M Karen |
| Credentials | D.M.D. |
| Telephone Number | 2088829999 |
NPI Number Detail
| NPI Number | 1013175595 |
|---|---|
| Provider Enumeration Date | 2008-05-30 |
| Last Updated Date | 2008-05-30 |
Provider Mailing Address Detail
| Address | 1246 W A St |
|---|---|
| City | Moscow |
| State | Idaho (ID) |
| Post Code | 838432277 |
| Phone Number | 2088829999 |
| Fax Number | 2088829998 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D-4108-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 |
|---|---|---|---|
| 807993200 | ID | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Palouse Pediatric Dentistry?
The Palouse Pediatric Dentistry has been issued the NPI (National Provider Identifier) 1013175595 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Palouse Pediatric Dentistry?
The Palouse Pediatric Dentistry is situated at 1246 W A St, in the city of Moscow, state of ID, with the zip code 838432277.
What is Palouse Pediatric Dentistry's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Palouse Pediatric Dentistry 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 assign the 1013175595 to Palouse Pediatric Dentistry?
The Centers for Medicare & Medicaid Services assigned the 1013175595 to Palouse Pediatric Dentistry on 2008-05-30.
When was the information pertaining to Palouse Pediatric Dentistry most recently updated or revised?
The details related to Palouse Pediatric Dentistry, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-30.