Beverly Ann Jimenez in Stevensville - Pediatric Dentistry
Beverly Ann Jimenez - NPI 1104959337
Beverly Ann Jimenez is a Pediatric Dentistry in Stevensville, Maryland. Beverly Ann Jimenez practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Beverly Ann Jimenez is 1104959337. The last update date is 2007-07-08.
Beverly Ann Jimenez's current location address is 122 Kemp Ln, Stevensville, Maryland. You can contact this provider via phone number 4106439411. The mailing address for Beverly Ann Jimenez is 122 Kemp Ln, Stevensville, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly Ann Jimenez |
|---|---|
| Address | 122 Kemp Ln, Stevensville, Maryland |
| Phone Number | 4106439411 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1104959337 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 122 Kemp Ln |
|---|---|
| City | Stevensville |
| State | Maryland (MD) |
| Post Code | 216662095 |
| Phone Number | 4106439411 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | MD 11542 |
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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 10-digit identification code assigned to Beverly Ann Jimenez by the Centers for Medicare & Medicaid Services?
The Beverly Ann Jimenez has been issued the NPI (National Provider Identifier) 1104959337, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Beverly Ann Jimenez's physical address?
The Beverly Ann Jimenez is physically located at 122 Kemp Ln, in the city of Stevensville, MD, with the postal code 216662095.
What is Beverly Ann Jimenez's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Beverly Ann Jimenez is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
When did the Beverly Ann Jimenez receive its 1104959337?
The Beverly Ann Jimenez was issued its 1104959337 on 2007-03-14, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Beverly Ann Jimenez, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Beverly Ann Jimenez, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.