Andy J Malcolm in Belvidere - Pediatric Dentistry

Andy J Malcolm - NPI 1033207089

Andy J Malcolm is a Pediatric Dentistry in Belvidere, Illinois. Andy J Malcolm practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Andy J Malcolm is 1033207089. The last update date is 2007-07-27.

Andy J Malcolm's current location address is 163 Cadillac Ct, Belvidere, Illinois. You can contact this provider via phone number 8155440909 and fax number 8155440922. The mailing address for Andy J Malcolm is 163 Cadillac Ct, Belvidere, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Andy J Malcolm
Address 163 Cadillac Ct, Belvidere, Illinois
Phone Number 8155440909
Fax Number 8155440922
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1033207089
Provider Enumeration Date 2006-10-11
Last Updated Date 2007-07-27

Provider Mailing Address Detail

Address 163 Cadillac Ct
City Belvidere
State Illinois (IL)
Post Code 610081737
Phone Number 8155440909
Fax Number 8155440922

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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FAQs about Andy J Malcolm

What is the Andy J Malcolm's unique identification number?

The Andy J Malcolm has been assigned the NPI (National Provider Identifier) Number 1033207089 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Andy J Malcolm is located?

The Andy J Malcolm is situated at the following address: 163 Cadillac Ct, Belvidere, IL, 610081737.

What is the Andy J Malcolm's specialty and taxonomy code?

The Andy J Malcolm's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services assign the 1033207089 to Andy J Malcolm?

The Centers for Medicare & Medicaid Services assigned the 1033207089 to Andy J Malcolm on 2006-10-11.

When was the Andy J Malcolm's information last updated?

The Andy J Malcolm's information was last updated on 2007-07-27.

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