Elizabeth K. Prada Da Costa in Sparks - Pediatric Dentistry

Elizabeth K. Prada Da Costa - NPI 1992907471

Elizabeth K. Prada Da Costa is a Pediatric Dentistry in Sparks, Maryland. Elizabeth K. Prada Da Costa practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Elizabeth K. Prada Da Costa is 1992907471. The last update date is 2014-03-07.

Elizabeth K. Prada Da Costa's current location address is 100 Sparks Valley Rd., Sparks, Maryland. You can contact this provider via phone number 4107718200 and fax number 4107718201. The mailing address for Elizabeth K. Prada Da Costa is 100 Sparks Valley Rd., Sparks, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Elizabeth K. Prada Da Costa
Address 100 Sparks Valley Rd., Sparks, Maryland
Phone Number 4107718200
Fax Number 4107718201
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1992907471
Provider Enumeration Date 2007-06-05
Last Updated Date 2014-03-07

Provider Mailing Address Detail

Address 100 Sparks Valley Rd.
City Sparks
State Maryland (MD)
Post Code 21152
Phone Number 4107718200
Fax Number 4107718201

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 15333
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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FAQs about Elizabeth K. Prada Da Costa

What is the unique 10-digit identifier code assigned to Elizabeth K. Prada Da Costa by the Centers for Medicare & Medicaid Services?

The Elizabeth K. Prada Da Costa has been issued the NPI (National Provider Identifier) 1992907471 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 address where Elizabeth K. Prada Da Costa is geographically located?

The Elizabeth K. Prada Da Costa is physically situated at the following location: 100 Sparks Valley Rd., Sparks, MD, 21152.

What is the Elizabeth K. Prada Da Costa's area of specialization and corresponding taxonomy classification?

The Elizabeth K. Prada Da Costa'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 the Elizabeth K. Prada Da Costa receive the assignment of its 1992907471 from the Centers for Medicare & Medicaid Services?

The Elizabeth K. Prada Da Costa was issued its 1992907471 by the Centers for Medicare & Medicaid Services on 2007-06-05.

As of what date were the details related to Elizabeth K. Prada Da Costa most recently updated or revised?

The information pertaining to Elizabeth K. Prada Da Costa, including its address, specialty, and other relevant details, was last updated or revised on 2014-03-07.

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