John H Frick Dmd Pc in Gresham - Pediatric Dentistry
John H Frick Dmd Pc - NPI 1548259252
John H Frick Dmd Pc is a Pediatric Dentistry in Gresham, Oregon. John H Frick Dmd Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for John H Frick Dmd Pc is 1548259252. The last update date is 2020-08-22.
John H Frick Dmd Pc's current location address is 2150 Ne Division St, Gresham, Oregon. You can contact this provider via phone number 5036669436 and fax number 5034924387. The mailing address for John H Frick Dmd Pc is 2150 Ne Division St, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | John H Frick Dmd Pc |
|---|---|
| Address | 2150 Ne Division St, Gresham, Oregon |
| Phone Number | 5036669436 |
| Fax Number | 5034924387 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Frick Dmd H John |
| Credentials | DMD |
| Telephone Number | 5036669436 |
NPI Number Detail
| NPI Number | 1548259252 |
|---|---|
| Provider Enumeration Date | 2005-10-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2150 Ne Division St |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970305813 |
| Phone Number | 5036669436 |
| Fax Number | 5034924387 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 4622 P |
|
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 assigned to John H Frick Dmd Pc by the Centers for Medicare & Medicaid Services?
The John H Frick Dmd Pc has been issued the NPI (National Provider Identifier) 1548259252, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where John H Frick Dmd Pc is physically located?
The John H Frick Dmd Pc is physically situated at the following address: 2150 Ne Division St, Gresham, OR, 970305813.
What is the John H Frick Dmd Pc's area of specialization and corresponding taxonomy classification?
The John H Frick Dmd Pc'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 did John H Frick Dmd Pc receive its 1548259252 assignment from the Centers for Medicare & Medicaid Services?
The John H Frick Dmd Pc was assigned its 1548259252 on 2005-10-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to John H Frick Dmd Pc most recently updated or revised?
The information pertaining to John H Frick Dmd Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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