Amy Goodwin is a Pediatric Dentistry in Las Vegas, Nevada. Amy Goodwin practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Amy Goodwin is 1063674356. The last update date is 2010-07-14.
Amy Goodwin's current location address is 9521 Bottle Creek Ln, Las Vegas, Nevada. You can contact this provider via phone number 7027672461. The mailing address for Amy Goodwin is 9521 Bottle Creek Ln, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Goodwin |
|---|---|
| Address | 9521 Bottle Creek Ln, Las Vegas, Nevada |
| Phone Number | 7027672461 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1063674356 |
|---|---|
| Provider Enumeration Date | 2008-06-27 |
| Last Updated Date | 2010-07-14 |
Provider Mailing Address Detail
| Address | 9521 Bottle Creek Ln |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891170501 |
| Phone Number | 7027672461 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 6021 |
|
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 identifier code issued to Amy Goodwin by the Centers for Medicare & Medicaid Services (CMS)?
The Amy Goodwin has been assigned the NPI (National Provider Identifier) 1063674356. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Amy Goodwin's physical address?
The Amy Goodwin is physically located at 9521 Bottle Creek Ln, in the city of Las Vegas, NV, with the postal code 891170501.
What is Amy Goodwin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Amy Goodwin's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
When did Amy Goodwin receive its 1063674356 assignment?
The Amy Goodwin was assigned its 1063674356 on 2008-06-27, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Amy Goodwin most recently updated or revised?
The information pertaining to Amy Goodwin, including its address, specialty, and other relevant details, was last updated or revised on 2010-07-14.
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