Thane C. Hisaw in Greensboro - Pediatric Dentistry
Thane C. Hisaw - NPI 1427180801
Thane C. Hisaw is a Pediatric Dentistry in Greensboro, North Carolina. Thane C. Hisaw practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Thane C. Hisaw is 1427180801. The last update date is 2013-06-27.
Thane C. Hisaw's current location address is 504 E Cornwallis Dr, Greensboro, North Carolina. You can contact this provider via phone number 3363781421 and fax number 3362735065. The mailing address for Thane C. Hisaw is 504 E Cornwallis Dr, Greensboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thane C. Hisaw |
|---|---|
| Address | 504 E Cornwallis Dr, Greensboro, North Carolina |
| Phone Number | 3363781421 |
| Fax Number | 3362735065 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1427180801 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2013-06-27 |
Provider Mailing Address Detail
| Address | 504 E Cornwallis Dr |
|---|---|
| City | Greensboro |
| State | North Carolina (NC) |
| Post Code | 274055679 |
| Phone Number | 3363781421 |
| Fax Number | 3362735065 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 9058 |
|
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 Thane C. Hisaw by the Centers for Medicare & Medicaid Services?
The Thane C. Hisaw has been assigned the NPI (National Provider Identifier) 1427180801. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Thane C. Hisaw's physical address?
The Thane C. Hisaw is physically located at 504 E Cornwallis Dr, in the city of Greensboro, NC, with the postal code 274055679.
What is Thane C. Hisaw's area of expertise and its corresponding taxonomy classification?
The Thane C. Hisaw'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 Thane C. Hisaw receive its 1427180801 assignment from the Centers for Medicare & Medicaid Services?
The Thane C. Hisaw was assigned its 1427180801 by the Centers for Medicare & Medicaid Services on 2007-03-12.
When was the information pertaining to Thane C. Hisaw most recently updated or revised?
The details related to Thane C. Hisaw, including its address, specialty, and other relevant information, were last updated or revised on 2013-06-27.