Eugene A Mickey, Dmd, Mph, Pc in Stoneham - Pediatric Dentistry
Eugene A Mickey, Dmd, Mph, Pc - NPI 1396829180
Eugene A Mickey, Dmd, Mph, Pc is a Pediatric Dentistry in Stoneham, Massachusetts. Eugene A Mickey, Dmd, Mph, Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Eugene A Mickey, Dmd, Mph, Pc is 1396829180. The last update date is 2020-08-22.
Eugene A Mickey, Dmd, Mph, Pc's current location address is 67 Montvale Ave, Stoneham, Massachusetts. You can contact this provider via phone number 7812792400 and fax number 7812794640. The mailing address for Eugene A Mickey, Dmd, Mph, Pc is 67 Montvale Ave, Stoneham, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eugene A Mickey, Dmd, Mph, Pc |
|---|---|
| Address | 67 Montvale Ave, Stoneham, Massachusetts |
| Phone Number | 7812792400 |
| Fax Number | 7812794640 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Field A Lisa |
| Credentials | CDPMA |
| Telephone Number | 7812792400 |
NPI Number Detail
| NPI Number | 1396829180 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 67 Montvale Ave |
|---|---|
| City | Stoneham |
| State | Massachusetts (MA) |
| Post Code | 21803618 |
| Phone Number | 7812792400 |
| Fax Number | 7812794640 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 14275 |
|
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 |
|---|---|---|---|
| 38861 | MA | HPHC | |
| 659373 | PA | UNITED CONCORDIA | |
| X10967 | MA | BCBSMA |
Post Comment/ Review Below
What is the unique identifier code issued to Eugene A Mickey, Dmd, Mph, Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Eugene A Mickey, Dmd, Mph, Pc has been assigned the NPI (National Provider Identifier) 1396829180. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Eugene A Mickey, Dmd, Mph, Pc's physical address?
The Eugene A Mickey, Dmd, Mph, Pc is physically located at 67 Montvale Ave, in the city of Stoneham, MA, with the postal code 21803618.
What is Eugene A Mickey, Dmd, Mph, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eugene A Mickey, Dmd, Mph, Pc is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date was the 1396829180 assigned to Eugene A Mickey, Dmd, Mph, Pc?
The Eugene A Mickey, Dmd, Mph, Pc was issued its 1396829180 on 2006-10-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Eugene A Mickey, Dmd, Mph, Pc most recently updated?
The details pertaining to the Eugene A Mickey, Dmd, Mph, Pc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.