Teresa L Poorman in Kearney - Pediatric Dentistry
Teresa L Poorman - NPI 1154431591
Teresa L Poorman is a Pediatric Dentistry in Kearney, Nebraska. Teresa L Poorman practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Teresa L Poorman is 1154431591. The last update date is 2007-07-09.
Teresa L Poorman's current location address is 121 E 31st St, Kearney, Nebraska. You can contact this provider via phone number 3082345437 and fax number 3082343169. The mailing address for Teresa L Poorman is 121 E 31st St, Kearney, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teresa L Poorman |
|---|---|
| Address | 121 E 31st St, Kearney, Nebraska |
| Phone Number | 3082345437 |
| Fax Number | 3082343169 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1154431591 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 121 E 31st St |
|---|---|
| City | Kearney |
| State | Nebraska (NE) |
| Post Code | 688473001 |
| Phone Number | 3082345437 |
| Fax Number | 3082343169 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 5646 |
|
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 |
|---|---|---|---|
| 4778072813 | NE | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Teresa L Poorman by the Centers for Medicare & Medicaid Services?
The Teresa L Poorman has been assigned the NPI (National Provider Identifier) 1154431591 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Teresa L Poorman?
The Teresa L Poorman is physically situated at 121 E 31St St, in the city of Kearney, state of NE, with the postal code 688473001.
What is Teresa L Poorman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Teresa L Poorman is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date did the Teresa L Poorman receive its 1154431591 assignment from the Centers for Medicare & Medicaid Services?
The Teresa L Poorman was assigned its 1154431591 by the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the information pertaining to Teresa L Poorman most recently updated or revised?
The details related to Teresa L Poorman, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.