Nancy Jo Soporowski in Needham - Pediatric Dentistry
Nancy Jo Soporowski - NPI 1629099841
Nancy Jo Soporowski is a Pediatric Dentistry in Needham, Massachusetts. Nancy Jo Soporowski practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Nancy Jo Soporowski is 1629099841. The last update date is 2007-07-08.
Nancy Jo Soporowski's current location address is 15 Morningside Rd, Needham, Massachusetts. You can contact this provider via phone number 7814556546. The mailing address for Nancy Jo Soporowski is 15 Morningside Rd, Needham, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nancy Jo Soporowski |
|---|---|
| Address | 15 Morningside Rd, Needham, Massachusetts |
| Phone Number | 7814556546 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1629099841 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15 Morningside Rd |
|---|---|
| City | Needham |
| State | Massachusetts (MA) |
| Post Code | 24923920 |
| Phone Number | 7814556546 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 17681 |
|
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 Nancy Jo Soporowski by the Centers for Medicare & Medicaid Services?
The Nancy Jo Soporowski has been issued the NPI (National Provider Identifier) 1629099841, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Nancy Jo Soporowski's facilities are situated?
The facilities of Nancy Jo Soporowski are physically located at the following address: 15 Morningside Rd, Needham, MA, 24923920.
What is Nancy Jo Soporowski's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Nancy Jo Soporowski is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629099841 to Nancy Jo Soporowski?
The Centers for Medicare & Medicaid Services originally issued the 1629099841 to Nancy Jo Soporowski on 2006-07-22.
As of what date were the Nancy Jo Soporowski's details last updated?
The information pertaining to the Nancy Jo Soporowski, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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