Mitchell Alan Smolow in Shavertown - Pediatric Dentistry
Mitchell Alan Smolow - NPI 1679795330
Mitchell Alan Smolow is a Pediatric Dentistry in Shavertown, Pennsylvania. Mitchell Alan Smolow practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Mitchell Alan Smolow is 1679795330. The last update date is 2016-03-07.
Mitchell Alan Smolow's current location address is 720 Hampton Rd, Shavertown, Pennsylvania. You can contact this provider via phone number 5707144000 and fax number 5706963320. The mailing address for Mitchell Alan Smolow is 720 Hampton Rd, Shavertown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitchell Alan Smolow |
|---|---|
| Address | 720 Hampton Rd, Shavertown, Pennsylvania |
| Phone Number | 5707144000 |
| Fax Number | 5706963320 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1679795330 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2016-03-07 |
Provider Mailing Address Detail
| Address | 720 Hampton Rd |
|---|---|
| City | Shavertown |
| State | Pennsylvania (PA) |
| Post Code | 187089527 |
| Phone Number | 5707144000 |
| Fax Number | 5706963320 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DS020248L |
|
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 identifier code issued to Mitchell Alan Smolow by the Centers for Medicare & Medicaid Services (CMS)?
The Mitchell Alan Smolow has been assigned the NPI (National Provider Identifier) 1679795330. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Mitchell Alan Smolow is geographically located?
The Mitchell Alan Smolow is physically situated at the following location: 720 Hampton Rd, Shavertown, PA, 187089527.
What is Mitchell Alan Smolow's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mitchell Alan Smolow is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services assign the 1679795330 to Mitchell Alan Smolow?
The Centers for Medicare & Medicaid Services assigned the 1679795330 to Mitchell Alan Smolow on 2007-05-03.
When was the information related to Mitchell Alan Smolow most recently updated or refreshed?
The details pertaining to the Mitchell Alan Smolow, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-03-07.
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