Childrens Dental Health Center in Stoughton - Pediatric Dentistry
Childrens Dental Health Center - NPI 1114114360
Childrens Dental Health Center is a Pediatric Dentistry in Stoughton, Massachusetts. Childrens Dental Health Center practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Childrens Dental Health Center is 1114114360. The last update date is 2007-10-02.
Childrens Dental Health Center's current location address is 966 Park St # C, Stoughton, Massachusetts. You can contact this provider via phone number 7813410030 and fax number 7813411166. The mailing address for Childrens Dental Health Center is 966 Park St # C, Stoughton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Childrens Dental Health Center |
|---|---|
| Address | 966 Park St # C, Stoughton, Massachusetts |
| Phone Number | 7813410030 |
| Fax Number | 7813411166 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Herschlag Lee Steven |
| Credentials | DMD |
| Telephone Number | 7813410030 |
NPI Number Detail
| NPI Number | 1114114360 |
|---|---|
| Provider Enumeration Date | 2007-10-02 |
| Last Updated Date | 2007-10-02 |
Provider Mailing Address Detail
| Address | 966 Park St # C |
|---|---|
| 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 | 16804 |
|
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 identifier code issued to Childrens Dental Health Center by the Centers for Medicare & Medicaid Services?
The Childrens Dental Health Center has been assigned the NPI (National Provider Identifier) 1114114360 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Childrens Dental Health Center's facilities are situated?
The facilities of Childrens Dental Health Center are physically located at the following address: 966 Park St # C, Stoughton, MA, 20723650.
What is Childrens Dental Health Center's area of expertise and its corresponding taxonomy classification?
The Childrens Dental Health Center's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114114360 to Childrens Dental Health Center?
The Centers for Medicare & Medicaid Services originally issued the 1114114360 to Childrens Dental Health Center on 2007-10-02.
As of what date were the details pertaining to Childrens Dental Health Center last refreshed?
The information related to the Childrens Dental Health Center, including its address, specialty, and other relevant details, was last updated on 2007-10-02.
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