Steven J Petruzzi in Kansas City - Pediatric Dentistry
Steven J Petruzzi - NPI 1306008057
Steven J Petruzzi is a Pediatric Dentistry in Kansas City, Missouri. Steven J Petruzzi practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Steven J Petruzzi is 1306008057. The last update date is 2011-03-22.
Steven J Petruzzi's current location address is 4804 Ne 65th Ter, Kansas City, Missouri. You can contact this provider via phone number 7602181638. The mailing address for Steven J Petruzzi is 4804 Ne 65th Ter, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven J Petruzzi |
|---|---|
| Address | 4804 Ne 65th Ter, Kansas City, Missouri |
| Phone Number | 7602181638 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1306008057 |
|---|---|
| Provider Enumeration Date | 2008-06-25 |
| Last Updated Date | 2011-03-22 |
Provider Mailing Address Detail
| Address | 4804 Ne 65th Ter |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 641191032 |
| Phone Number | 7602181638 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D008162 |
|
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 identification code issued to Steven J Petruzzi by the Centers for Medicare & Medicaid Services?
The Steven J Petruzzi has been assigned the NPI (National Provider Identifier) 1306008057 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Steven J Petruzzi's facilities are situated?
The facilities of Steven J Petruzzi are physically located at the following address: 4804 Ne 65Th Ter, Kansas City, MO, 641191032.
What is Steven J Petruzzi's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Steven J Petruzzi is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306008057 to Steven J Petruzzi?
The Centers for Medicare & Medicaid Services originally issued the 1306008057 to Steven J Petruzzi on 2008-06-25.
As of what date were the details related to Steven J Petruzzi most recently updated or revised?
The information pertaining to Steven J Petruzzi, including its address, specialty, and other relevant details, was last updated or revised on 2011-03-22.
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