Sanford Jay Fenton in Memphis - Pediatric Dentistry
Sanford Jay Fenton - NPI 1942371695
Sanford Jay Fenton is a Pediatric Dentistry in Memphis, Tennessee. Sanford Jay Fenton practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Sanford Jay Fenton is 1942371695. The last update date is 2007-07-09.
Sanford Jay Fenton's current location address is 875 Union Ave, Memphis, Tennessee. You can contact this provider via phone number 9014486206 and fax number 9014486249. The mailing address for Sanford Jay Fenton is 875 Union Ave, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sanford Jay Fenton |
|---|---|
| Address | 875 Union Ave, Memphis, Tennessee |
| Phone Number | 9014486206 |
| Fax Number | 9014486249 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1942371695 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 875 Union Ave |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381630001 |
| Phone Number | 9014486206 |
| Fax Number | 9014486249 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DS0000007119 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5926 | TN | TENNCARE PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Sanford Jay Fenton by the Centers for Medicare & Medicaid Services?
The Sanford Jay Fenton has been assigned the NPI (National Provider Identifier) 1942371695 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Sanford Jay Fenton is physically located?
The Sanford Jay Fenton is situated at the following address: 875 Union Ave, Memphis, TN 381630001.
What is the Sanford Jay Fenton's area of specialization and corresponding taxonomy classification?
The Sanford Jay Fenton's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
When did Sanford Jay Fenton receive its 1942371695 assignment?
The Sanford Jay Fenton was assigned its 1942371695 on 2006-11-13, which is the date when this unique identifier was issued to the organization.
When was the Sanford Jay Fenton's information last updated?
The Sanford Jay Fenton's information was last updated on 2007-07-09.