Pedaitric Dental Associates in Las Vegas - Pediatric Dentistry
Pedaitric Dental Associates - NPI 1114183118
Pedaitric Dental Associates is a Pediatric Dentistry in Las Vegas, Nevada. Pedaitric Dental Associates practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pedaitric Dental Associates is 1114183118. The last update date is 2008-07-30.
Pedaitric Dental Associates's current location address is 7250 S Durango Dr, Las Vegas, Nevada. You can contact this provider via phone number 7022703047 and fax number 7026140548. The mailing address for Pedaitric Dental Associates is 7250 S Durango Dr, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pedaitric Dental Associates |
|---|---|
| Address | 7250 S Durango Dr, Las Vegas, Nevada |
| Phone Number | 7022703047 |
| Fax Number | 7026140548 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wilson A Timothy |
| Credentials | D.D.S |
| Telephone Number | 7022703047 |
NPI Number Detail
| NPI Number | 1114183118 |
|---|---|
| Provider Enumeration Date | 2008-07-30 |
| Last Updated Date | 2008-07-30 |
Provider Mailing Address Detail
| Address | 7250 S Durango Dr |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891132241 |
| Phone Number | 7022703047 |
| Fax Number | 7026140548 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
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 Pedaitric Dental Associates by the Centers for Medicare & Medicaid Services?
The Pedaitric Dental Associates has been assigned the NPI (National Provider Identifier) 1114183118. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Pedaitric Dental Associates's physical address?
The Pedaitric Dental Associates is physically located at 7250 S Durango Dr, in the city of Las Vegas, NV, with the postal code 891132241.
What is Pedaitric Dental Associates's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pedaitric Dental Associates's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did Pedaitric Dental Associates receive its 1114183118 assignment from the Centers for Medicare & Medicaid Services?
The Pedaitric Dental Associates was assigned its 1114183118 on 2008-07-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Pedaitric Dental Associates's details last updated?
The information pertaining to the Pedaitric Dental Associates, including its address, specialty, and other details, was most recently updated on 2008-07-30.