Quincy Pediatric Dental, P.C. in Quincy - Pediatric Dentistry
Quincy Pediatric Dental, P.C. - NPI 1972533107
Quincy Pediatric Dental, P.C. is a Pediatric Dentistry in Quincy, Massachusetts. Quincy Pediatric Dental, P.C. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Quincy Pediatric Dental, P.C. is 1972533107. The last update date is 2020-08-22.
Quincy Pediatric Dental, P.C.'s current location address is 111 Willard St, Quincy, Massachusetts. You can contact this provider via phone number 6174712184 and fax number 6174712185. The mailing address for Quincy Pediatric Dental, P.C. is 111 Willard St, Quincy, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Quincy Pediatric Dental, P.C. |
|---|---|
| Address | 111 Willard St, Quincy, Massachusetts |
| Phone Number | 6174712184 |
| Fax Number | 6174712185 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lee B Brian |
| Credentials | D.M.D. |
| Telephone Number | 6174712184 |
NPI Number Detail
| NPI Number | 1972533107 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 111 Willard St |
|---|---|
| City | Quincy |
| State | Massachusetts (MA) |
| Post Code | 21691200 |
| Phone Number | 6174712184 |
| Fax Number | 6174712185 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 18806 |
|
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 identifier code issued to Quincy Pediatric Dental, P.C. by the Centers for Medicare & Medicaid Services (CMS)?
The Quincy Pediatric Dental, P.C. has been assigned the NPI (National Provider Identifier) 1972533107. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Quincy Pediatric Dental, P.C. is physically located?
The Quincy Pediatric Dental, P.C. is situated at the following address: 111 Willard St, Quincy, MA 21691200.
What is Quincy Pediatric Dental, P.C.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Quincy Pediatric Dental, P.C. is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date did Quincy Pediatric Dental, P.C. receive its 1972533107 assignment from the Centers for Medicare & Medicaid Services?
The Quincy Pediatric Dental, P.C. was assigned its 1972533107 on 2006-07-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Quincy Pediatric Dental, P.C. most recently updated or revised?
The details related to Quincy Pediatric Dental, P.C., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.