Martha J Braid in Marion - Pediatric Dentistry
Martha J Braid - NPI 1609856251
Martha J Braid is a Pediatric Dentistry in Marion, Illinois. Martha J Braid practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Martha J Braid is 1609856251. The last update date is 2021-07-30.
Martha J Braid's current location address is 2801 Civic Circle Blvd Ste 7, Marion, Illinois. You can contact this provider via phone number 6189989868 and fax number 6189989870. The mailing address for Martha J Braid is 2801 Civic Circle Blvd Ste 7, Marion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martha J Braid |
|---|---|
| Address | 2801 Civic Circle Blvd Ste 7, Marion, Illinois |
| Phone Number | 6189989868 |
| Fax Number | 6189989870 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1609856251 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2021-07-30 |
Provider Mailing Address Detail
| Address | 2801 Civic Circle Blvd Ste 7 |
|---|---|
| City | Marion |
| State | Illinois (IL) |
| Post Code | 629595276 |
| Phone Number | 6189989868 |
| Fax Number | 6189989870 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 8287 |
|
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 Martha J Braid's 1609856251?
The Martha J Braid's NPI (National Provider Identifier) Number is 1609856251. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Martha J Braid's facilities are situated?
The facilities of Martha J Braid are physically located at the following address: 2801 Civic Circle Blvd Ste 7, Marion, IL, 629595276.
What is Martha J Braid's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Martha J Braid is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
When was the Martha J Braid's 1609856251 issued?
The Martha J Braid's 1609856251 was issued on 2006-01-19.
As of what date were the details pertaining to Martha J Braid last refreshed?
The information related to the Martha J Braid, including its address, specialty, and other relevant details, was last updated on 2021-07-30.
NPI Number: 1699778829
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