Pediatric Dentistry in Concord - Pediatric Dentistry
Pediatric Dentistry - NPI 1629055793
Pediatric Dentistry is a Pediatric Dentistry in Concord, Massachusetts. Pediatric Dentistry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dentistry is 1629055793. The last update date is 2020-08-22.
Pediatric Dentistry's current location address is 290 Baker Ave, Concord, Massachusetts. You can contact this provider via phone number 9783697771 and fax number 9783712031. The mailing address for Pediatric Dentistry is 290 Baker Ave, Concord, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dentistry |
|---|---|
| Address | 290 Baker Ave, Concord, Massachusetts |
| Phone Number | 9783697771 |
| Fax Number | 9783712031 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Eckstein I. Neale |
| Credentials | D.D.S. |
| Telephone Number | 9783697771 |
NPI Number Detail
| NPI Number | 1629055793 |
|---|---|
| Provider Enumeration Date | 2005-12-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 290 Baker Ave |
|---|---|
| City | Concord |
| State | Massachusetts (MA) |
| Post Code | 17422189 |
| Phone Number | 9783697771 |
| Fax Number | 9783712031 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 13469 |
|
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 |
|---|---|---|---|
| 296287 | MA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Pediatric Dentistry by the Centers for Medicare & Medicaid Services?
The Pediatric Dentistry has been issued the NPI (National Provider Identifier) 1629055793. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Pediatric Dentistry located?
The Pediatric Dentistry is located at 290 Baker Ave, Concord, MA 17422189.
What is the area of specialization for Pediatric Dentistry, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pediatric Dentistry is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629055793 to Pediatric Dentistry?
The Centers for Medicare & Medicaid Services assigned the 1629055793 to Pediatric Dentistry on 2005-12-29.
When was the information related to Pediatric Dentistry most recently updated or refreshed?
The details pertaining to the Pediatric Dentistry, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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