Jerald Kyle House in Hood River - Pediatric Dentistry

Jerald Kyle House - NPI 1710989827

Jerald Kyle House is a Pediatric Dentistry in Hood River, Oregon. Jerald Kyle House practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Jerald Kyle House is 1710989827. The last update date is 2007-08-09.

Jerald Kyle House's current location address is 419 State St, Hood River, Oregon. You can contact this provider via phone number 5413878688 and fax number 5413876785. The mailing address for Jerald Kyle House is 419 State St, Hood River, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerald Kyle House
Address 419 State St, Hood River, Oregon
Phone Number 5413878688
Fax Number 5413876785
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1710989827
Provider Enumeration Date 2005-06-01
Last Updated Date 2007-08-09

Provider Mailing Address Detail

Address 419 State St
City Hood River
State Oregon (OR)
Post Code 9703120750
Phone Number 5413878688
Fax Number 5413876785

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No D7666
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
181087 OR --

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FAQs about Jerald Kyle House

What is the Jerald Kyle House's 1710989827?

The Jerald Kyle House's NPI (National Provider Identifier) Number is 1710989827. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jerald Kyle House is located?

The Jerald Kyle House is situated at the following address: 419 State St, Hood River, OR, 9703120750.

What is Jerald Kyle House's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jerald Kyle House is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.

When did the Jerald Kyle House receive its 1710989827?

The Jerald Kyle House was issued its 1710989827 on 2005-06-01, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Jerald Kyle House, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jerald Kyle House, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-09.

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