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
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
Provider Enumeration Date 2006-12-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 150 Griffin Rd Ste 1
City Portsmouth
State New Hampshire (NH)
Post Code 38017131
Phone Number 6034362204
Fax Number 6034364158

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
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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FAQs about Jon Jay Wendell

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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