Crocodile Smiles Children'S Dentistry, Pllc in Oklahoma City - Pediatric Dentistry
Crocodile Smiles Children'S Dentistry, Pllc - NPI 1710165873
Crocodile Smiles Children'S Dentistry, Pllc is a Pediatric Dentistry in Oklahoma City, Oklahoma. Crocodile Smiles Children'S Dentistry, Pllc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Crocodile Smiles Children'S Dentistry, Pllc is 1710165873. The last update date is 2008-01-31.
Crocodile Smiles Children'S Dentistry, Pllc's current location address is 828 Sw 66th St, Oklahoma City, Oklahoma. You can contact this provider via phone number 4056361616. The mailing address for Crocodile Smiles Children'S Dentistry, Pllc is 828 Sw 66th St, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crocodile Smiles Children'S Dentistry, Pllc |
|---|---|
| Address | 828 Sw 66th St, Oklahoma City, Oklahoma |
| Phone Number | 4056361616 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kellner Elizabeth |
| Telephone Number | 4056361616 |
NPI Number Detail
| NPI Number | 1710165873 |
|---|---|
| Provider Enumeration Date | 2008-01-31 |
| Last Updated Date | 2008-01-31 |
Provider Mailing Address Detail
| Address | 828 Sw 66th St |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731394213 |
| Phone Number | 4056361616 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 73 |
|
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 10-digit identification code issued to Crocodile Smiles Children'S Dentistry, Pllc by the Centers for Medicare & Medicaid Services?
The Crocodile Smiles Children'S Dentistry, Pllc has been assigned the NPI (National Provider Identifier) 1710165873 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Crocodile Smiles Children'S Dentistry, Pllc?
The Crocodile Smiles Children'S Dentistry, Pllc is situated at 828 Sw 66Th St, in the city of Oklahoma City, state of OK, with the zip code 731394213.
What is Crocodile Smiles Children'S Dentistry, Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Crocodile Smiles Children'S Dentistry, Pllc is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
When did the Crocodile Smiles Children'S Dentistry, Pllc receive its 1710165873?
The Crocodile Smiles Children'S Dentistry, Pllc was issued its 1710165873 on 2008-01-31, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Crocodile Smiles Children'S Dentistry, Pllc last refreshed?
The information related to the Crocodile Smiles Children'S Dentistry, Pllc, including its address, specialty, and other relevant details, was last updated on 2008-01-31.