Malcolm Pediatric Dentistry in Belvidere - Pediatric Dentistry
Malcolm Pediatric Dentistry - NPI 1538359427
Malcolm Pediatric Dentistry is a Pediatric Dentistry in Belvidere, Illinois. Malcolm Pediatric Dentistry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Malcolm Pediatric Dentistry is 1538359427. The last update date is 2007-07-27.
Malcolm Pediatric Dentistry'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 Malcolm Pediatric Dentistry is 163 Cadillac Ct, Belvidere, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Malcolm Pediatric Dentistry |
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Address | 163 Cadillac Ct, Belvidere, Illinois |
Phone Number | 8155440909 |
Fax Number | 8155440922 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PEDIATRIC |
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Authorized Official Name | Malcolm Joe Andy |
Credentials | DDS |
Telephone Number | 8155440909 |
NPI Number Detail
NPI Number | 1538359427 |
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Provider Enumeration Date | 2007-07-27 |
Last Updated Date | 2007-07-27 |
Provider Mailing Address Detail
Address | 163 Cadillac Ct |
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City | Belvidere |
State | Illinois (IL) |
Post Code | 610081737 |
Phone Number | 8155440909 |
Fax Number | 8155440922 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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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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What is the unique 10-digit identifier code issued to Malcolm Pediatric Dentistry by the Centers for Medicare & Medicaid Services?
The Malcolm Pediatric Dentistry has been assigned the NPI (National Provider Identifier) 1538359427 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Malcolm Pediatric Dentistry?
The Malcolm Pediatric Dentistry is physically situated at 163 Cadillac Ct, in the city of Belvidere, state of IL, with the postal code 610081737.
What is Malcolm Pediatric Dentistry's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Malcolm Pediatric Dentistry is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
When was the Malcolm Pediatric Dentistry's 1538359427 issued?
The Malcolm Pediatric Dentistry's 1538359427 was issued on 2007-07-27.
As of what date were the details pertaining to Malcolm Pediatric Dentistry last refreshed?
The information related to the Malcolm Pediatric Dentistry, including its address, specialty, and other relevant details, was last updated on 2007-07-27.
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