Tan Dental Practice Pllc in Forest Hills - Pediatric Dentistry
Tan Dental Practice Pllc - NPI 1124280664
Tan Dental Practice Pllc is a Pediatric Dentistry in Forest Hills, New York. Tan Dental Practice Pllc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Tan Dental Practice Pllc is 1124280664. The last update date is 2008-06-26.
Tan Dental Practice Pllc's current location address is 6854 Clyde St, Forest Hills, New York. You can contact this provider via phone number 7182682798. The mailing address for Tan Dental Practice Pllc is 6854 Clyde St, Forest Hills, New York. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Tan Dental Practice Pllc |
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Address | 6854 Clyde St, Forest Hills, New York |
Phone Number | 7182682798 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEMBER |
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Authorized Official Name | Tan Ei Be Stella |
Credentials | D.D.S |
Telephone Number | 9175158226 |
NPI Number Detail
NPI Number | 1124280664 |
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Provider Enumeration Date | 2008-06-26 |
Last Updated Date | 2008-06-26 |
Provider Mailing Address Detail
Address | 6854 Clyde St |
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City | Forest Hills |
State | New York (NY) |
Post Code | 113755038 |
Phone Number | 7182682798 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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Taxonomy | 1223P0221X |
Licence No | 498641 |
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 Tan Dental Practice Pllc by the Centers for Medicare & Medicaid Services (CMS)?
The Tan Dental Practice Pllc has been assigned the NPI (National Provider Identifier) 1124280664. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Tan Dental Practice Pllc is physically located?
The Tan Dental Practice Pllc is physically situated at the following address: 6854 Clyde St, Forest Hills, NY, 113755038.
What is the area of specialization for Tan Dental Practice Pllc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tan Dental Practice Pllc is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124280664 to Tan Dental Practice Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1124280664 to Tan Dental Practice Pllc on 2008-06-26.
When was the information pertaining to Tan Dental Practice Pllc most recently updated or revised?
The details related to Tan Dental Practice Pllc, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-26.