Anastacia M. Whitman in Portland - Pediatric Dentistry
Anastacia M. Whitman - NPI 1972639623
Anastacia M. Whitman is a Pediatric Dentistry in Portland, Oregon. Anastacia M. Whitman practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Anastacia M. Whitman is 1972639623. The last update date is 2016-02-10.
Anastacia M. Whitman's current location address is 4548 N Albina Ave, Portland, Oregon. You can contact this provider via phone number 5036269711. The mailing address for Anastacia M. Whitman is 4548 N Albina Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anastacia M. Whitman |
|---|---|
| Address | 4548 N Albina Ave, Portland, Oregon |
| Phone Number | 5036269711 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1972639623 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2016-02-10 |
Provider Mailing Address Detail
| Address | 4548 N Albina Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972173010 |
| Phone Number | 5036269711 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 10970 |
|
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 |
|---|---|---|---|
| 244432 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Anastacia M. Whitman by the Centers for Medicare & Medicaid Services?
The Anastacia M. Whitman has been assigned the NPI (National Provider Identifier) 1972639623 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Anastacia M. Whitman is physically located?
The Anastacia M. Whitman is physically situated at the following address: 4548 N Albina Ave, Portland, OR, 972173010.
What is Anastacia M. Whitman's area of expertise and its corresponding taxonomy classification?
The Anastacia M. Whitman's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date did the Anastacia M. Whitman receive the assignment of its 1972639623 from the Centers for Medicare & Medicaid Services?
The Anastacia M. Whitman was issued its 1972639623 by the Centers for Medicare & Medicaid Services on 2007-02-26.
As of what date was the information pertaining to Anastacia M. Whitman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Anastacia M. Whitman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-02-10.