Alexander Athanasiou in Stoughton - Pediatric Dentistry
Alexander Athanasiou - NPI 1760603401
Alexander Athanasiou is a Pediatric Dentistry in Stoughton, Massachusetts. Alexander Athanasiou practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Alexander Athanasiou is 1760603401. The last update date is 2007-07-08.
Alexander Athanasiou's current location address is 966c Park St, Stoughton, Massachusetts. You can contact this provider via phone number 7813410030 and fax number 7813411166. The mailing address for Alexander Athanasiou is 966c Park St, Stoughton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alexander Athanasiou |
|---|---|
| Address | 966c Park St, Stoughton, Massachusetts |
| Phone Number | 7813410030 |
| Fax Number | 7813411166 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1760603401 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 966c Park St |
|---|---|
| City | Stoughton |
| State | Massachusetts (MA) |
| Post Code | 20723650 |
| Phone Number | 7813410030 |
| Fax Number | 7813411166 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 20896 |
|
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 issued to Alexander Athanasiou by the Centers for Medicare & Medicaid Services?
The Alexander Athanasiou has been assigned the NPI (National Provider Identifier) 1760603401 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Alexander Athanasiou?
The Alexander Athanasiou is physically situated at 966C Park St, in the city of Stoughton, state of MA, with the postal code 20723650.
What is Alexander Athanasiou's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Alexander Athanasiou's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did the Alexander Athanasiou receive its 1760603401 assignment from the Centers for Medicare & Medicaid Services?
The Alexander Athanasiou was assigned its 1760603401 by the Centers for Medicare & Medicaid Services on 2007-05-01.
When was the Alexander Athanasiou's information last updated?
The Alexander Athanasiou's information was last updated on 2007-07-08.
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