Thomas Albert Reid in Brookhaven - Pediatric Dentistry
Thomas Albert Reid - NPI 1790832244
Thomas Albert Reid is a Pediatric Dentistry in Brookhaven, Mississippi. Thomas Albert Reid practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Thomas Albert Reid is 1790832244. The last update date is 2009-04-13.
Thomas Albert Reid's current location address is 601 Brookman Drive, Brookhaven, Mississippi. You can contact this provider via phone number 6018335454 and fax number 6018335628. The mailing address for Thomas Albert Reid is 601 Brookman Drive, Brookhaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Albert Reid |
|---|---|
| Address | 601 Brookman Drive, Brookhaven, Mississippi |
| Phone Number | 6018335454 |
| Fax Number | 6018335628 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1790832244 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2009-04-13 |
Provider Mailing Address Detail
| Address | 601 Brookman Drive |
|---|---|
| City | Brookhaven |
| State | Mississippi (MS) |
| Post Code | 396012065 |
| Phone Number | 6018335454 |
| Fax Number | 6018335628 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | PEDO-257-94 |
|
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 |
|---|---|---|---|
| 660073 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Thomas Albert Reid?
The Thomas Albert Reid has been issued the NPI (National Provider Identifier) 1790832244 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Thomas Albert Reid is physically located?
The Thomas Albert Reid is situated at the following address: 601 Brookman Drive, Brookhaven, MS 396012065.
What is Thomas Albert Reid's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thomas Albert Reid's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Thomas Albert Reid receive its 1790832244 assignment from the Centers for Medicare & Medicaid Services?
The Thomas Albert Reid was assigned its 1790832244 by the Centers for Medicare & Medicaid Services on 2007-01-05.
As of what date were the details pertaining to Thomas Albert Reid last refreshed?
The information related to the Thomas Albert Reid, including its address, specialty, and other relevant details, was last updated on 2009-04-13.
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