Gary L Fielden in Kingsport - Pediatric Dentistry

Gary L Fielden - NPI 1467412346

Gary L Fielden is a Pediatric Dentistry in Kingsport, Tennessee. Gary L Fielden practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Gary L Fielden is 1467412346. The last update date is 2015-05-18.

Gary L Fielden's current location address is 1205 N Wilcox Dr, Kingsport, Tennessee. You can contact this provider via phone number 4232475127. The mailing address for Gary L Fielden is 1205 N Wilcox Dr, Kingsport, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary L Fielden
Address 1205 N Wilcox Dr, Kingsport, Tennessee
Phone Number 4232475127
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1467412346
Provider Enumeration Date 2006-03-24
Last Updated Date 2015-05-18

Provider Mailing Address Detail

Address 1205 N Wilcox Dr
City Kingsport
State Tennessee (TN)
Post Code 376604922
Phone Number 4232475127
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No DS2872
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
9178637 VA --
Q007318 TN --

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FAQs about Gary L Fielden

What is the unique 10-digit identifier code assigned to Gary L Fielden by the Centers for Medicare & Medicaid Services?

The Gary L Fielden has been issued the NPI (National Provider Identifier) 1467412346 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Gary L Fielden is physically located?

The Gary L Fielden is situated at the following address: 1205 N Wilcox Dr, Kingsport, TN 376604922.

What is the Gary L Fielden's area of specialization and corresponding taxonomy classification?

The Gary L Fielden's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.

On what date was the 1467412346 assigned to Gary L Fielden?

The Gary L Fielden was issued its 1467412346 on 2006-03-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Gary L Fielden most recently updated?

The details pertaining to the Gary L Fielden, including its address, specialty, and other relevant information, were last refreshed on 2015-05-18.

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