Kids Dental Village in Woodside - Pediatric Dentistry
Kids Dental Village - NPI 1023264645
Kids Dental Village is a Pediatric Dentistry in Woodside, New York. Kids Dental Village practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kids Dental Village is 1023264645. The last update date is 2008-08-14.
Kids Dental Village's current location address is 39-05 61st Street, Woodside, New York. You can contact this provider via phone number 7188995437. The mailing address for Kids Dental Village is 39-05 61st Street, Woodside, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kids Dental Village |
|---|---|
| Address | 39-05 61st Street, Woodside, New York |
| Phone Number | 7188995437 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FOUNDER/PE |
|---|---|
| Authorized Official Name | Attaie Ali |
| Credentials | DDS |
| Telephone Number | 7188995437 |
NPI Number Detail
| NPI Number | 1023264645 |
|---|---|
| Provider Enumeration Date | 2008-08-14 |
| Last Updated Date | 2008-08-14 |
Provider Mailing Address Detail
| Address | 39-05 61st Street |
|---|---|
| City | Woodside |
| State | New York (NY) |
| Post Code | 113773566 |
| Phone Number | 7188995437 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 52251 |
|
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 Kids Dental Village by the Centers for Medicare & Medicaid Services?
The Kids Dental Village has been assigned the NPI (National Provider Identifier) 1023264645. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kids Dental Village's facilities are situated?
The facilities of Kids Dental Village are physically located at the following address: 39-05 61St Street, Woodside, NY, 113773566.
What is Kids Dental Village's area of expertise and its corresponding taxonomy classification?
The Kids Dental Village's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1023264645 to Kids Dental Village?
The Kids Dental Village received its 1023264645 assignment from the Centers for Medicare & Medicaid Services on 2008-08-14.
When was the information related to Kids Dental Village most recently updated or refreshed?
The details pertaining to the Kids Dental Village, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-14.