Clyde Armstrong Musgrave in Southaven - Pediatric Dentistry
Clyde Armstrong Musgrave - NPI 1194825299
Clyde Armstrong Musgrave is a Pediatric Dentistry in Southaven, Mississippi. Clyde Armstrong Musgrave practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Clyde Armstrong Musgrave is 1194825299. The last update date is 2013-08-08.
Clyde Armstrong Musgrave's current location address is 2925 Nail Rd E, Southaven, Mississippi. You can contact this provider via phone number 6628937337 and fax number 6628937881. The mailing address for Clyde Armstrong Musgrave is 2925 Nail Rd E, Southaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clyde Armstrong Musgrave |
|---|---|
| Address | 2925 Nail Rd E, Southaven, Mississippi |
| Phone Number | 6628937337 |
| Fax Number | 6628937881 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1194825299 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2013-08-08 |
Provider Mailing Address Detail
| Address | 2925 Nail Rd E |
|---|---|
| City | Southaven |
| State | Mississippi (MS) |
| Post Code | 386726620 |
| Phone Number | 6628937337 |
| Fax Number | 6628937881 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3136-00 |
|
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 |
|---|---|---|---|
| 660434 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Clyde Armstrong Musgrave by the Centers for Medicare & Medicaid Services?
The Clyde Armstrong Musgrave has been assigned the NPI (National Provider Identifier) 1194825299 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Clyde Armstrong Musgrave?
The Clyde Armstrong Musgrave is situated at 2925 Nail Rd E, in the city of Southaven, state of MS, with the zip code 386726620.
What is the Clyde Armstrong Musgrave's area of specialization and corresponding taxonomy classification?
The Clyde Armstrong Musgrave'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 Clyde Armstrong Musgrave receive its 1194825299 assignment from the Centers for Medicare & Medicaid Services?
The Clyde Armstrong Musgrave was assigned its 1194825299 on 2006-09-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Clyde Armstrong Musgrave most recently updated or revised?
The details related to Clyde Armstrong Musgrave, including its address, specialty, and other relevant information, were last updated or revised on 2013-08-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY