R Angela Wandera in Eden Prairie - Pediatric Dentistry
R Angela Wandera - NPI 1144206863
R Angela Wandera is a Pediatric Dentistry in Eden Prairie, Minnesota. R Angela Wandera practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for R Angela Wandera is 1144206863. The last update date is 2007-07-08.
R Angela Wandera's current location address is 8785 Columbine Rd, Eden Prairie, Minnesota. You can contact this provider via phone number 9529417393 and fax number 9529412162. The mailing address for R Angela Wandera is 8785 Columbine Rd, Eden Prairie, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | R Angela Wandera |
|---|---|
| Address | 8785 Columbine Rd, Eden Prairie, Minnesota |
| Phone Number | 9529417393 |
| Fax Number | 9529412162 |
| Sole Proprietor | Y |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1144206863 |
|---|---|
| Provider Enumeration Date | 2005-12-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8785 Columbine Rd |
|---|---|
| City | Eden Prairie |
| State | Minnesota (MN) |
| Post Code | 553446695 |
| Phone Number | 9529417393 |
| Fax Number | 9529412162 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D11618 |
|
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 |
|---|---|---|---|
| 15212 | MN | DORAL |
Post Comment/ Review Below
What is the unique identifier code issued to R Angela Wandera by the Centers for Medicare & Medicaid Services?
The R Angela Wandera has been assigned the NPI (National Provider Identifier) 1144206863. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where R Angela Wandera is physically located?
The R Angela Wandera is situated at the following address: 8785 Columbine Rd, Eden Prairie, MN 553446695.
What is R Angela Wandera's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for R Angela Wandera is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date did R Angela Wandera receive its 1144206863 assignment from the Centers for Medicare & Medicaid Services?
The R Angela Wandera was assigned its 1144206863 on 2005-12-15, 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 R Angela Wandera, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to R Angela Wandera, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.