Pediatric Dental Specialists in Greenville - Pediatric Dentistry
Pediatric Dental Specialists - NPI 1558532028
Pediatric Dental Specialists is a Pediatric Dentistry in Greenville, Mississippi. Pediatric Dental Specialists practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dental Specialists is 1558532028. The last update date is 2008-03-12.
Pediatric Dental Specialists's current location address is 1540 S Main St, Greenville, Mississippi. You can contact this provider via phone number 6623349337. The mailing address for Pediatric Dental Specialists is 1540 S Main St, Greenville, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dental Specialists |
|---|---|
| Address | 1540 S Main St, Greenville, Mississippi |
| Phone Number | 6623349337 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PEDI |
|---|---|
| Authorized Official Name | Quinton Neil William |
| Credentials | DMD |
| Telephone Number | 6623349337 |
NPI Number Detail
| NPI Number | 1558532028 |
|---|---|
| Provider Enumeration Date | 2008-03-12 |
| Last Updated Date | 2008-03-12 |
Provider Mailing Address Detail
| Address | 1540 S Main St |
|---|---|
| City | Greenville |
| State | Mississippi (MS) |
| Post Code | 387017055 |
| Phone Number | 6623349337 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | PEDO-385-05 |
|
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 Pediatric Dental Specialists by the Centers for Medicare & Medicaid Services?
The Pediatric Dental Specialists has been assigned the NPI (National Provider Identifier) 1558532028 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Pediatric Dental Specialists is physically located?
The Pediatric Dental Specialists is situated at the following address: 1540 S Main St, Greenville, MS 387017055.
What is the area of specialization for Pediatric Dental Specialists, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pediatric Dental Specialists is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date did Pediatric Dental Specialists receive its 1558532028 assignment from the Centers for Medicare & Medicaid Services?
The Pediatric Dental Specialists was assigned its 1558532028 on 2008-03-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Pediatric Dental Specialists's details last updated?
The information pertaining to the Pediatric Dental Specialists, including its address, specialty, and other details, was most recently updated on 2008-03-12.