Stephanie M Litz in Mooresville - Pediatric Dentistry
Stephanie M Litz - NPI 1902025968
Stephanie M Litz is a Pediatric Dentistry in Mooresville, Indiana. Stephanie M Litz practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Stephanie M Litz is 1902025968. The last update date is 2021-12-03.
Stephanie M Litz's current location address is 100 Town Center Dr S Ste A, Mooresville, Indiana. You can contact this provider via phone number 3178315439 and fax number 3178319750. The mailing address for Stephanie M Litz is 100 Town Center Dr S Ste A, Mooresville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie M Litz |
|---|---|
| Address | 100 Town Center Dr S Ste A, Mooresville, Indiana |
| Phone Number | 3178315439 |
| Fax Number | 3178319750 |
| Sole Proprietor | Y |
| Credentials | DDS, MSD |
NPI Number Detail
| NPI Number | 1902025968 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2021-12-03 |
Provider Mailing Address Detail
| Address | 100 Town Center Dr S Ste A |
|---|---|
| City | Mooresville |
| State | Indiana (IN) |
| Post Code | 461582322 |
| Phone Number | 3178315439 |
| Fax Number | 3178319750 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 12009130 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300046440 | IN | -- | |
| 100186730A | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Stephanie M Litz by the Centers for Medicare & Medicaid Services?
The Stephanie M Litz has been assigned the NPI (National Provider Identifier) 1902025968. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Stephanie M Litz is located?
The Stephanie M Litz is situated at the following address: 100 Town Center Dr S Ste A, Mooresville, IN, 461582322.
What is the Stephanie M Litz's area of specialization and corresponding taxonomy classification?
The Stephanie M Litz's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did Stephanie M Litz receive its 1902025968 assignment from the Centers for Medicare & Medicaid Services?
The Stephanie M Litz was assigned its 1902025968 on 2007-04-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Stephanie M Litz's details last updated?
The information pertaining to the Stephanie M Litz, including its address, specialty, and other details, was most recently updated on 2021-12-03.