Pendleton G Waldron Dds in Newton - Pediatric Dentistry

Pendleton G Waldron Dds - NPI 1720251796

Pendleton G Waldron Dds is a Pediatric Dentistry in Newton, North Carolina. Pendleton G Waldron Dds practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pendleton G Waldron Dds is 1720251796. The last update date is 2008-04-10.

Pendleton G Waldron Dds's current location address is 430 West 20th St, Newton, North Carolina. You can contact this provider via phone number 8284649220 and fax number 8284649234. The mailing address for Pendleton G Waldron Dds is 430 West 20th St, Newton, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pendleton G Waldron Dds
Address 430 West 20th St, Newton, North Carolina
Phone Number 8284649220
Fax Number 8284649234
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Waldron F Pendleton
Credentials DDS
Telephone Number 8284649220

NPI Number Detail

NPI Number 1720251796
Provider Enumeration Date 2008-04-10
Last Updated Date 2008-04-10

Provider Mailing Address Detail

Address 430 West 20th St
City Newton
State North Carolina (NC)
Post Code 28658
Phone Number 8284649220
Fax Number 8284649234

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 3233
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8998815 NC --

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FAQs about Pendleton G Waldron Dds

What is the unique identification code assigned to Pendleton G Waldron Dds by the Centers for Medicare & Medicaid Services?

The Pendleton G Waldron Dds has been issued the NPI (National Provider Identifier) 1720251796. This 10-digit code 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 Pendleton G Waldron Dds?

The Pendleton G Waldron Dds is physically situated at 430 West 20Th St, in the city of Newton, state of NC, with the postal code 28658.

What is the Pendleton G Waldron Dds's specialty and taxonomy code?

The Pendleton G Waldron Dds's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.

When was the Pendleton G Waldron Dds's 1720251796 issued?

The Pendleton G Waldron Dds's 1720251796 was issued on 2008-04-10.

As of what date was the information regarding Pendleton G Waldron Dds, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Pendleton G Waldron Dds, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-10.

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