Daniel M Autry in House Springs - Pediatric Dentistry

Daniel M Autry - NPI 1740275593

Daniel M Autry is a Pediatric Dentistry in House Springs, Missouri. Daniel M Autry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Daniel M Autry is 1740275593. The last update date is 2015-02-25.

Daniel M Autry's current location address is 8141 John Mckeever Rd, House Springs, Missouri. You can contact this provider via phone number 6189679570. The mailing address for Daniel M Autry is 8141 John Mckeever Rd, House Springs, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Daniel M Autry
Address 8141 John Mckeever Rd, House Springs, Missouri
Phone Number 6189679570
Fax Number
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1740275593
Provider Enumeration Date 2005-09-19
Last Updated Date 2015-02-25

Provider Mailing Address Detail

Address 8141 John Mckeever Rd
City House Springs
State Missouri (MO)
Post Code 630513216
Phone Number 6189679570
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 8613
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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FAQs about Daniel M Autry

What is the Daniel M Autry's 1740275593?

The Daniel M Autry's NPI (National Provider Identifier) Number is 1740275593. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Daniel M Autry's facilities are situated?

The facilities of Daniel M Autry are physically located at the following address: 8141 John Mckeever Rd, House Springs, MO, 630513216.

What is Daniel M Autry's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Daniel M Autry is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.

On what date did the Daniel M Autry receive the assignment of its 1740275593 from the Centers for Medicare & Medicaid Services?

The Daniel M Autry was issued its 1740275593 by the Centers for Medicare & Medicaid Services on 2005-09-19.

As of what date was the information regarding Daniel M Autry, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Daniel M Autry, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-02-25.

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