Thomas Glenn Ison in Newburgh - Pediatric Dentistry
Thomas Glenn Ison - NPI 1831188382
Thomas Glenn Ison is a Pediatric Dentistry in Newburgh, Indiana. Thomas Glenn Ison practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Thomas Glenn Ison is 1831188382. The last update date is 2023-02-14.
Thomas Glenn Ison's current location address is 8966 Ruffian Ln, Newburgh, Indiana. You can contact this provider via phone number 8124908070 and fax number 8124908072. The mailing address for Thomas Glenn Ison is 8966 Ruffian Ln, Newburgh, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Glenn Ison |
|---|---|
| Address | 8966 Ruffian Ln, Newburgh, Indiana |
| Phone Number | 8124908070 |
| Fax Number | 8124908072 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1831188382 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2023-02-14 |
Provider Mailing Address Detail
| Address | 8966 Ruffian Ln |
|---|---|
| City | Newburgh |
| State | Indiana (IN) |
| Post Code | 476303424 |
| Phone Number | 8124908070 |
| Fax Number | 8124908072 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 12010534A |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Thomas Glenn Ison by the Centers for Medicare & Medicaid Services (CMS)?
The Thomas Glenn Ison has been assigned the NPI (National Provider Identifier) 1831188382. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Thomas Glenn Ison is physically located?
The Thomas Glenn Ison is physically situated at the following address: 8966 Ruffian Ln, Newburgh, IN, 476303424.
What is Thomas Glenn Ison'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 Thomas Glenn Ison is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date did the Thomas Glenn Ison receive its 1831188382 assignment from the Centers for Medicare & Medicaid Services?
The Thomas Glenn Ison was assigned its 1831188382 by the Centers for Medicare & Medicaid Services on 2005-10-18.
As of what date were the details related to Thomas Glenn Ison most recently updated or revised?
The information pertaining to Thomas Glenn Ison, including its address, specialty, and other relevant details, was last updated or revised on 2023-02-14.