Spencer E. Mauseth in Rexburg - Pediatric Dentistry
Spencer E. Mauseth - NPI 1619187390
Spencer E. Mauseth is a Pediatric Dentistry in Rexburg, Idaho. Spencer E. Mauseth practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Spencer E. Mauseth is 1619187390. The last update date is 2019-08-07.
Spencer E. Mauseth's current location address is 859 S Yellowstone Hwy, Rexburg, Idaho. You can contact this provider via phone number 2085525439 and fax number 2085525440. The mailing address for Spencer E. Mauseth is 859 S Yellowstone Hwy, Rexburg, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Spencer E. Mauseth |
|---|---|
| Address | 859 S Yellowstone Hwy, Rexburg, Idaho |
| Phone Number | 2085525439 |
| Fax Number | 2085525440 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1619187390 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2019-08-07 |
Provider Mailing Address Detail
| Address | 859 S Yellowstone Hwy |
|---|---|
| City | Rexburg |
| State | Idaho (ID) |
| Post Code | 834405293 |
| Phone Number | 2085525439 |
| Fax Number | 2085525440 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DDS61986 |
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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 Spencer E. Mauseth?
The Spencer E. Mauseth has been issued the NPI (National Provider Identifier) 1619187390 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Spencer E. Mauseth is geographically located?
The Spencer E. Mauseth is physically situated at the following location: 859 S Yellowstone Hwy, Rexburg, ID, 834405293.
What is Spencer E. Mauseth's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Spencer E. Mauseth's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
When did Spencer E. Mauseth receive its 1619187390 assignment?
The Spencer E. Mauseth was assigned its 1619187390 on 2007-05-23, which is the date when this unique identifier was issued to the organization.
When was the information regarding Spencer E. Mauseth most recently updated?
The details pertaining to the Spencer E. Mauseth, including its address, specialty, and other relevant information, were last refreshed on 2019-08-07.