Dentistry For Kids P.A. in Rexburg - Pediatric Dentistry
Dentistry For Kids P.A. - NPI 1891960688
Dentistry For Kids P.A. is a Pediatric Dentistry in Rexburg, Idaho. Dentistry For Kids P.A. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Dentistry For Kids P.A. is 1891960688. The last update date is 2013-02-01.
Dentistry For Kids P.A.'s current location address is 1014 Erikson Dr. #a, Rexburg, Idaho. You can contact this provider via phone number 2082381567. The mailing address for Dentistry For Kids P.A. is 1014 Erikson Dr. #a, Rexburg, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dentistry For Kids P.A. |
|---|---|
| Address | 1014 Erikson Dr. #a, Rexburg, Idaho |
| Phone Number | 2082381567 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRES |
|---|---|
| Authorized Official Name | Mcwhorter D. Robert |
| Credentials | D.D.S. |
| Telephone Number | 2082371567 |
NPI Number Detail
| NPI Number | 1891960688 |
|---|---|
| Provider Enumeration Date | 2008-04-23 |
| Last Updated Date | 2013-02-01 |
Provider Mailing Address Detail
| Address | 1014 Erikson Dr. #a |
|---|---|
| City | Rexburg |
| State | Idaho (ID) |
| Post Code | 83440 |
| Phone Number | 2082381567 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D-3451-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 |
|---|---|---|---|
| 805759500 | ID | -- | |
| 9200611 | ID | IDAHO SMILES PROVIDER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dentistry For Kids P.A. by the Centers for Medicare & Medicaid Services?
The Dentistry For Kids P.A. has been issued the NPI (National Provider Identifier) 1891960688 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Dentistry For Kids P.A. is geographically located?
The Dentistry For Kids P.A. is physically situated at the following location: 1014 Erikson Dr. #A, Rexburg, ID, 83440.
What is Dentistry For Kids P.A.'s area of expertise and its corresponding taxonomy classification?
The Dentistry For Kids P.A.'s field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891960688 to Dentistry For Kids P.A.?
The Centers for Medicare & Medicaid Services originally issued the 1891960688 to Dentistry For Kids P.A. on 2008-04-23.
As of what date were the details pertaining to Dentistry For Kids P.A. last refreshed?
The information related to the Dentistry For Kids P.A., including its address, specialty, and other relevant details, was last updated on 2013-02-01.
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