Pediatric Dentist, Pdc in Metairie - Pediatric Dentistry
Pediatric Dentist, Pdc - NPI 1003943135
Pediatric Dentist, Pdc is a Pediatric Dentistry in Metairie, Louisiana. Pediatric Dentist, Pdc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dentist, Pdc is 1003943135. The last update date is 2020-08-22.
Pediatric Dentist, Pdc's current location address is 2201 Veterans Memorial Blvd, Metairie, Louisiana. You can contact this provider via phone number 5048312120 and fax number 5048312310. The mailing address for Pediatric Dentist, Pdc is 2201 Veterans Memorial Blvd, Metairie, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dentist, Pdc |
|---|---|
| Address | 2201 Veterans Memorial Blvd, Metairie, Louisiana |
| Phone Number | 5048312120 |
| Fax Number | 5048312310 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Parker D Jason |
| Credentials | DDS |
| Telephone Number | 5046698679 |
NPI Number Detail
| NPI Number | 1003943135 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2201 Veterans Memorial Blvd |
|---|---|
| City | Metairie |
| State | Louisiana (LA) |
| Post Code | 70002 |
| Phone Number | 5048312120 |
| Fax Number | 5048312310 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 5132 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1851329 | LA | -- |
Post Comment/ Review Below
What is the Pediatric Dentist, Pdc's unique identification number?
The Pediatric Dentist, Pdc has been assigned the NPI (National Provider Identifier) Number 1003943135 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Pediatric Dentist, Pdc is located?
The Pediatric Dentist, Pdc is situated at the following address: 2201 Veterans Memorial Blvd, Metairie, LA, 70002.
What is Pediatric Dentist, Pdc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pediatric Dentist, Pdc is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
When did Pediatric Dentist, Pdc receive its 1003943135 assignment?
The Pediatric Dentist, Pdc was assigned its 1003943135 on 2007-02-27, which is the date when this unique identifier was issued to the organization.
When was the information related to Pediatric Dentist, Pdc most recently updated or refreshed?
The details pertaining to the Pediatric Dentist, Pdc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.