Carolyn Ann Muckerheide in Hillsboro - Pediatric Dentistry

Carolyn Ann Muckerheide - NPI 1073607115

Carolyn Ann Muckerheide is a Pediatric Dentistry in Hillsboro, Oregon. Carolyn Ann Muckerheide practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Carolyn Ann Muckerheide is 1073607115. The last update date is 2007-07-08.

Carolyn Ann Muckerheide's current location address is 2380 Nw Amberbrook Dr, Hillsboro, Oregon. You can contact this provider via phone number 5036418800 and fax number 5033520721. The mailing address for Carolyn Ann Muckerheide is 2380 Nw Amberbrook Dr, Hillsboro, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Carolyn Ann Muckerheide
Address 2380 Nw Amberbrook Dr, Hillsboro, Oregon
Phone Number 5036418800
Fax Number 5033520721
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1073607115
Provider Enumeration Date 2006-10-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2380 Nw Amberbrook Dr
City Hillsboro
State Oregon (OR)
Post Code 970066952
Phone Number 5036418800
Fax Number 5033520721

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No D8526
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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FAQs about Carolyn Ann Muckerheide

What is the Carolyn Ann Muckerheide's unique identification number?

The Carolyn Ann Muckerheide has been assigned the NPI (National Provider Identifier) Number 1073607115 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Carolyn Ann Muckerheide's facilities are situated?

The facilities of Carolyn Ann Muckerheide are physically located at the following address: 2380 Nw Amberbrook Dr, Hillsboro, OR, 970066952.

What is Carolyn Ann Muckerheide's specialized field of practice, and what is the corresponding taxonomy classification code?

The Carolyn Ann Muckerheide's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.

On what date did Carolyn Ann Muckerheide receive its 1073607115 assignment from the Centers for Medicare & Medicaid Services?

The Carolyn Ann Muckerheide was assigned its 1073607115 on 2006-10-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Carolyn Ann Muckerheide most recently updated or revised?

The details related to Carolyn Ann Muckerheide, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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