Melina Amy Ilief Ala in Beverly - Pediatric Dentistry
Melina Amy Ilief Ala - NPI 1902920630
Melina Amy Ilief Ala is a Pediatric Dentistry in Beverly, Massachusetts. Melina Amy Ilief Ala practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Melina Amy Ilief Ala is 1902920630. The last update date is 2015-10-14.
Melina Amy Ilief Ala's current location address is 75 Herrick St, Beverly, Massachusetts. You can contact this provider via phone number 9789217575. The mailing address for Melina Amy Ilief Ala is 75 Herrick St, Beverly, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melina Amy Ilief Ala |
|---|---|
| Address | 75 Herrick St, Beverly, Massachusetts |
| Phone Number | 9789217575 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1902920630 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2015-10-14 |
Provider Mailing Address Detail
| Address | 75 Herrick St |
|---|---|
| City | Beverly |
| State | Massachusetts (MA) |
| Post Code | 19155903 |
| Phone Number | 9789217575 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 21806 |
|
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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What is the unique 10-digit identification code assigned to Melina Amy Ilief Ala by the Centers for Medicare & Medicaid Services?
The Melina Amy Ilief Ala has been issued the NPI (National Provider Identifier) 1902920630, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Melina Amy Ilief Ala?
The Melina Amy Ilief Ala is situated at 75 Herrick St, in the city of Beverly, state of MA, with the zip code 19155903.
What is Melina Amy Ilief Ala's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Melina Amy Ilief Ala is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1902920630 to Melina Amy Ilief Ala?
The Melina Amy Ilief Ala received its 1902920630 assignment from the Centers for Medicare & Medicaid Services on 2007-03-19.
When was the information related to Melina Amy Ilief Ala most recently updated or refreshed?
The details pertaining to the Melina Amy Ilief Ala, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-10-14.
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