Pediatric And Adolescent Dentistry in Mankato - Pediatric Dentistry
Pediatric And Adolescent Dentistry - NPI 1699747378
Pediatric And Adolescent Dentistry is a Pediatric Dentistry in Mankato, Minnesota. Pediatric And Adolescent Dentistry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric And Adolescent Dentistry is 1699747378. The last update date is 2020-08-22.
Pediatric And Adolescent Dentistry's current location address is 212 Star St, Mankato, Minnesota. You can contact this provider via phone number 5073874784 and fax number 5073874078. The mailing address for Pediatric And Adolescent Dentistry is 212 Star St, Mankato, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric And Adolescent Dentistry |
|---|---|
| Address | 212 Star St, Mankato, Minnesota |
| Phone Number | 5073874784 |
| Fax Number | 5073874078 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Walton Lowell James |
| Credentials | DDS |
| Telephone Number | 5073874784 |
NPI Number Detail
| NPI Number | 1699747378 |
|---|---|
| Provider Enumeration Date | 2006-02-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 212 Star St |
|---|---|
| City | Mankato |
| State | Minnesota (MN) |
| Post Code | 560014825 |
| Phone Number | 5073874784 |
| Fax Number | 5073874078 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
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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Post Comment/ Review Below
What is the Pediatric And Adolescent Dentistry's unique identification number?
The Pediatric And Adolescent Dentistry has been assigned the NPI (National Provider Identifier) Number 1699747378 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Pediatric And Adolescent Dentistry's facilities are geographically located?
The facilities of Pediatric And Adolescent Dentistry are physically situated at the following location: 212 Star St, Mankato, MN, 560014825.
What is Pediatric And Adolescent Dentistry's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pediatric And Adolescent Dentistry is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date did the Pediatric And Adolescent Dentistry receive its 1699747378 assignment from the Centers for Medicare & Medicaid Services?
The Pediatric And Adolescent Dentistry was assigned its 1699747378 by the Centers for Medicare & Medicaid Services on 2006-02-06.
As of what date were the details related to Pediatric And Adolescent Dentistry most recently updated or revised?
The information pertaining to Pediatric And Adolescent Dentistry, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.