Sturbridge Children Dentistry in Sturbridge - Pediatric Dentistry
Sturbridge Children Dentistry - NPI 1770752974
Sturbridge Children Dentistry is a Pediatric Dentistry in Sturbridge, Massachusetts. Sturbridge Children Dentistry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Sturbridge Children Dentistry is 1770752974. The last update date is 2008-02-21.
Sturbridge Children Dentistry's current location address is 266 Main St, Sturbridge, Massachusetts. You can contact this provider via phone number 1508347555 and fax number 1508347756. The mailing address for Sturbridge Children Dentistry is 266 Main St, Sturbridge, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sturbridge Children Dentistry |
|---|---|
| Address | 266 Main St, Sturbridge, Massachusetts |
| Phone Number | 1508347555 |
| Fax Number | 1508347756 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PEDIATRIC |
|---|---|
| Authorized Official Name | Restrepo Lucia Olga |
| Credentials | DMD |
| Telephone Number | 1508347555 |
NPI Number Detail
| NPI Number | 1770752974 |
|---|---|
| Provider Enumeration Date | 2008-02-21 |
| Last Updated Date | 2008-02-21 |
Provider Mailing Address Detail
| Address | 266 Main St |
|---|---|
| City | Sturbridge |
| State | Massachusetts (MA) |
| Post Code | 15661540 |
| Phone Number | 1508347555 |
| Fax Number | 1508347756 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 19602 |
|
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 Sturbridge Children Dentistry by the Centers for Medicare & Medicaid Services?
The Sturbridge Children Dentistry has been assigned the NPI (National Provider Identifier) 1770752974 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Sturbridge Children Dentistry located?
The Sturbridge Children Dentistry is located at 266 Main St, Sturbridge, MA 15661540.
What is the Sturbridge Children Dentistry's specialty and taxonomy code?
The Sturbridge Children Dentistry's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did Sturbridge Children Dentistry receive its 1770752974 assignment from the Centers for Medicare & Medicaid Services?
The Sturbridge Children Dentistry was assigned its 1770752974 on 2008-02-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Sturbridge Children Dentistry most recently updated?
The details pertaining to the Sturbridge Children Dentistry, including its address, specialty, and other relevant information, were last refreshed on 2008-02-21.