Steven J Marcello in Thibodaux - Pediatric Dentistry
Steven J Marcello - NPI 1275680944
Steven J Marcello is a Pediatric Dentistry in Thibodaux, Louisiana. Steven J Marcello practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Steven J Marcello is 1275680944. The last update date is 2011-11-03.
Steven J Marcello's current location address is 156 W Main St, Thibodaux, Louisiana. You can contact this provider via phone number 9854463754 and fax number 9854491582. The mailing address for Steven J Marcello is 156 W Main St, Thibodaux, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven J Marcello |
|---|---|
| Address | 156 W Main St, Thibodaux, Louisiana |
| Phone Number | 9854463754 |
| Fax Number | 9854491582 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1275680944 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2011-11-03 |
Provider Mailing Address Detail
| Address | 156 W Main St |
|---|---|
| City | Thibodaux |
| State | Louisiana (LA) |
| Post Code | 703015216 |
| Phone Number | 9854463754 |
| Fax Number | 9854491582 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3570 |
|
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 |
|---|---|---|---|
| 1174753321 | LA | -- | |
| 1275680944 | LA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Steven J Marcello?
The Steven J Marcello has been issued the NPI (National Provider Identifier) 1275680944 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Steven J Marcello is physically located?
The Steven J Marcello is situated at the following address: 156 W Main St, Thibodaux, LA 703015216.
What is Steven J Marcello's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Steven J Marcello's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date was the 1275680944 assigned to Steven J Marcello?
The Steven J Marcello was issued its 1275680944 on 2007-01-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Steven J Marcello, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Steven J Marcello, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-11-03.
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