Pediatric Dentistry Ltd in Fargo - Pediatric Dentistry
Pediatric Dentistry Ltd - NPI 1619084084
Pediatric Dentistry Ltd is a Pediatric Dentistry in Fargo, North Dakota. Pediatric Dentistry Ltd practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dentistry Ltd is 1619084084. The last update date is 2020-08-22.
Pediatric Dentistry Ltd's current location address is 1205 16th Ave South, Fargo, North Dakota. You can contact this provider via phone number 7012936999 and fax number 7012352297. The mailing address for Pediatric Dentistry Ltd is 1205 16th Ave South, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dentistry Ltd |
|---|---|
| Address | 1205 16th Ave South, Fargo, North Dakota |
| Phone Number | 7012936999 |
| Fax Number | 7012352297 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hunter A William |
| Credentials | DDS |
| Telephone Number | 7012936999 |
NPI Number Detail
| NPI Number | 1619084084 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1205 16th Ave South |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 58103 |
| Phone Number | 7012936999 |
| Fax Number | 7012352297 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 1406 |
|
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 Pediatric Dentistry Ltd by the Centers for Medicare & Medicaid Services?
The Pediatric Dentistry Ltd has been assigned the NPI (National Provider Identifier) 1619084084. 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 provide the complete street address where Pediatric Dentistry Ltd is physically located?
The Pediatric Dentistry Ltd is physically situated at the following address: 1205 16Th Ave South, Fargo, ND, 58103.
What is the Pediatric Dentistry Ltd's area of specialization and corresponding taxonomy classification?
The Pediatric Dentistry Ltd's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date was the 1619084084 assigned to Pediatric Dentistry Ltd?
The Pediatric Dentistry Ltd was issued its 1619084084 on 2006-08-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Pediatric Dentistry Ltd, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pediatric Dentistry Ltd, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.