Pedodontics, Pc in Omaha - Pediatric Dentistry

Pedodontics, Pc - NPI 1629072954

Pedodontics, Pc is a Pediatric Dentistry in Omaha, Nebraska. Pedodontics, Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pedodontics, Pc is 1629072954. The last update date is 2008-07-31.

Pedodontics, Pc's current location address is 2514 S 119th St Ste2, Omaha, Nebraska. You can contact this provider via phone number 4023305913 and fax number 4023333190. The mailing address for Pedodontics, Pc is 2514 S 119th St Ste2, Omaha, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pedodontics, Pc
Address 2514 S 119th St Ste2, Omaha, Nebraska
Phone Number 4023305913
Fax Number 4023333190
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Dana Carmen
Credentials DDS
Telephone Number 4023305913

NPI Number Detail

NPI Number 1629072954
Provider Enumeration Date 2005-06-02
Last Updated Date 2008-07-31

Provider Mailing Address Detail

Address 2514 S 119th St Ste2
City Omaha
State Nebraska (NE)
Post Code 681440
Phone Number 4023305913
Fax Number 4023333190

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 6514
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 Pedodontics, Pc

What is the unique 10-digit identification code assigned to Pedodontics, Pc by the Centers for Medicare & Medicaid Services?

The Pedodontics, Pc has been issued the NPI (National Provider Identifier) 1629072954, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Pedodontics, Pc's facilities are geographically located?

The facilities of Pedodontics, Pc are physically situated at the following location: 2514 S 119Th St Ste2, Omaha, NE, 681440.

What is Pedodontics, Pc'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 Pedodontics, Pc is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.

When did Pedodontics, Pc receive its 1629072954 assignment?

The Pedodontics, Pc was assigned its 1629072954 on 2005-06-02, which is the date when this unique identifier was issued to the organization.

When was the information regarding Pedodontics, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Pedodontics, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-07-31.

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