Stacey A Yandoli in West Deptford - Pediatric Dentistry
Stacey A Yandoli - NPI 1407873466
Stacey A Yandoli is a Pediatric Dentistry in West Deptford, New Jersey. Stacey A Yandoli practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Stacey A Yandoli is 1407873466. The last update date is 2014-10-02.
Stacey A Yandoli's current location address is 776 Grove Rd, West Deptford, New Jersey. You can contact this provider via phone number 8568482211 and fax number 8568488630. The mailing address for Stacey A Yandoli is 776 Grove Rd, West Deptford, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey A Yandoli |
|---|---|
| Address | 776 Grove Rd, West Deptford, New Jersey |
| Phone Number | 8568482211 |
| Fax Number | 8568488630 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1407873466 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2014-10-02 |
Provider Mailing Address Detail
| Address | 776 Grove Rd |
|---|---|
| City | West Deptford |
| State | New Jersey (NJ) |
| Post Code | 8086 |
| Phone Number | 8568482211 |
| Fax Number | 8568488630 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 2254200 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 109193 | NJ | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Stacey A Yandoli by the Centers for Medicare & Medicaid Services?
The Stacey A Yandoli has been issued the NPI (National Provider Identifier) 1407873466. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Stacey A Yandoli is located?
The Stacey A Yandoli is situated at the following address: 776 Grove Rd, West Deptford, NJ, 8086.
What is Stacey A Yandoli's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stacey A Yandoli's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date was the 1407873466 assigned to Stacey A Yandoli?
The Stacey A Yandoli was issued its 1407873466 on 2006-07-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Stacey A Yandoli most recently updated?
The details pertaining to the Stacey A Yandoli, including its address, specialty, and other relevant information, were last refreshed on 2014-10-02.