Gerusa Mello-Anderson in O Fallon - Pediatric Dentistry
Gerusa Mello-Anderson - NPI 1790871721
Gerusa Mello-Anderson is a Pediatric Dentistry in O Fallon, Illinois. Gerusa Mello-Anderson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Gerusa Mello-Anderson is 1790871721. The last update date is 2007-07-08.
Gerusa Mello-Anderson's current location address is 4945 Stone Falls Ctr, O Fallon, Illinois. You can contact this provider via phone number 6186220212 and fax number 6186221996. The mailing address for Gerusa Mello-Anderson is 4945 Stone Falls Ctr, O Fallon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerusa Mello-Anderson |
|---|---|
| Address | 4945 Stone Falls Ctr, O Fallon, Illinois |
| Phone Number | 6186220212 |
| Fax Number | 6186221996 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1790871721 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4945 Stone Falls Ctr |
|---|---|
| City | O Fallon |
| State | Illinois (IL) |
| Post Code | 622697802 |
| Phone Number | 6186220212 |
| Fax Number | 6186221996 |
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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What is the unique 10-digit identifier code assigned to Gerusa Mello-Anderson by the Centers for Medicare & Medicaid Services?
The Gerusa Mello-Anderson has been issued the NPI (National Provider Identifier) 1790871721 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 location address where Gerusa Mello-Anderson's facilities are situated?
The facilities of Gerusa Mello-Anderson are physically located at the following address: 4945 Stone Falls Ctr, O Fallon, IL, 622697802.
What is the Gerusa Mello-Anderson's specialty and taxonomy code?
The Gerusa Mello-Anderson's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
When did the Gerusa Mello-Anderson receive its 1790871721?
The Gerusa Mello-Anderson was issued its 1790871721 on 2006-10-05, which is the date when the organization was assigned this unique identifier.
As of what date were the Gerusa Mello-Anderson's details last updated?
The information pertaining to the Gerusa Mello-Anderson, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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