Saul Ovalle in North Mankato - Pediatric Dentistry
Saul Ovalle - NPI 1629066840
Saul Ovalle is a Pediatric Dentistry in North Mankato, Minnesota. Saul Ovalle practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Saul Ovalle is 1629066840. The last update date is 2007-07-08.
Saul Ovalle's current location address is 2110 Burnett Ln, North Mankato, Minnesota. You can contact this provider via phone number 5073878220. The mailing address for Saul Ovalle is 2110 Burnett Ln, North Mankato, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Saul Ovalle |
|---|---|
| Address | 2110 Burnett Ln, North Mankato, Minnesota |
| Phone Number | 5073878220 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1629066840 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2110 Burnett Ln |
|---|---|
| City | North Mankato |
| State | Minnesota (MN) |
| Post Code | 560031661 |
| Phone Number | 5073878220 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D11727 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41730WA | MN | BLUE PLUS GROUP NUMBER |
Post Comment/ Review Below
What is the Saul Ovalle's unique identification number?
The Saul Ovalle has been assigned the NPI (National Provider Identifier) Number 1629066840 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Saul Ovalle's physical address?
The Saul Ovalle is physically located at 2110 Burnett Ln, in the city of North Mankato, MN, with the postal code 560031661.
What is the Saul Ovalle's area of specialization and corresponding taxonomy classification?
The Saul Ovalle's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did the Saul Ovalle receive the assignment of its 1629066840 from the Centers for Medicare & Medicaid Services?
The Saul Ovalle was issued its 1629066840 by the Centers for Medicare & Medicaid Services on 2005-10-11.
As of what date were the Saul Ovalle's details last updated?
The information pertaining to the Saul Ovalle, including its address, specialty, and other details, was most recently updated on 2007-07-08.