Jon Jay Wendell in Portsmouth - Pediatric Dentistry
Jon Jay Wendell - NPI 1033273842
Jon Jay Wendell is a Pediatric Dentistry in Portsmouth, New Hampshire. Jon Jay Wendell practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Jon Jay Wendell is 1033273842. The last update date is 2007-07-08.
Jon Jay Wendell's current location address is 150 Griffin Rd Ste 1, Portsmouth, New Hampshire. You can contact this provider via phone number 6034362204 and fax number 6034364158. The mailing address for Jon Jay Wendell is 150 Griffin Rd Ste 1, Portsmouth, New Hampshire. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jon Jay Wendell |
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Address | 150 Griffin Rd Ste 1, Portsmouth, New Hampshire |
Phone Number | 6034362204 |
Fax Number | 6034364158 |
Sole Proprietor | N |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1033273842 |
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Provider Enumeration Date | 2006-12-19 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 150 Griffin Rd Ste 1 |
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City | Portsmouth |
State | New Hampshire (NH) |
Post Code | 38017131 |
Phone Number | 6034362204 |
Fax Number | 6034364158 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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Taxonomy | 1223P0221X |
Licence No | 2493 |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2493 | NH | STATE LICENSE NUMBER | |
30005083 | NH | -- |
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What is the unique 10-digit identification code issued to Jon Jay Wendell by the Centers for Medicare & Medicaid Services?
The Jon Jay Wendell has been assigned the NPI (National Provider Identifier) 1033273842 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jon Jay Wendell's physical address?
The Jon Jay Wendell is physically located at 150 Griffin Rd Ste 1, in the city of Portsmouth, NH, with the postal code 38017131.
What is the Jon Jay Wendell's area of specialization and corresponding taxonomy classification?
The Jon Jay Wendell's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did the Jon Jay Wendell receive the assignment of its 1033273842 from the Centers for Medicare & Medicaid Services?
The Jon Jay Wendell was issued its 1033273842 by the Centers for Medicare & Medicaid Services on 2006-12-19.
As of what date were the Jon Jay Wendell's details last updated?
The information pertaining to the Jon Jay Wendell, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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