Cielo Constanza Doherty in Shiprock - Pediatric Dentistry
Cielo Constanza Doherty - NPI 1164410882
Cielo Constanza Doherty is a Pediatric Dentistry in Shiprock, New Mexico. Cielo Constanza Doherty practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Cielo Constanza Doherty is 1164410882. The last update date is 2007-09-18.
Cielo Constanza Doherty's current location address is Us Hwy 491 North, Shiprock, New Mexico. You can contact this provider via phone number 5053686401 and fax number 5053686431. The mailing address for Cielo Constanza Doherty is Us Hwy 491 North, Shiprock, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cielo Constanza Doherty |
|---|---|
| Address | Us Hwy 491 North, Shiprock, New Mexico |
| Phone Number | 5053686401 |
| Fax Number | 5053686431 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1164410882 |
|---|---|
| Provider Enumeration Date | 2005-10-06 |
| Last Updated Date | 2007-09-18 |
Provider Mailing Address Detail
| Address | Us Hwy 491 North |
|---|---|
| City | Shiprock |
| State | New Mexico (NM) |
| Post Code | 87420 |
| Phone Number | 5053686401 |
| Fax Number | 5053686431 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 6891 |
|
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 |
|---|---|---|---|
| 52686264 | CO | -- | |
| B4089 | NM | -- | |
| 618423 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Cielo Constanza Doherty by the Centers for Medicare & Medicaid Services?
The Cielo Constanza Doherty has been issued the NPI (National Provider Identifier) 1164410882, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Cielo Constanza Doherty?
The Cielo Constanza Doherty is physically situated at Us Hwy 491 North, in the city of Shiprock, state of NM, with the postal code 87420.
What is Cielo Constanza Doherty's specialized field of practice, and what is the corresponding taxonomy classification code?
The Cielo Constanza Doherty's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164410882 to Cielo Constanza Doherty?
The Cielo Constanza Doherty received its 1164410882 assignment from the Centers for Medicare & Medicaid Services on 2005-10-06.
As of what date was the information pertaining to Cielo Constanza Doherty, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Cielo Constanza Doherty, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-18.