Pediatric Dentistry Arlington South, Pllc in Arlington - Pediatric Dentistry

Pediatric Dentistry Arlington South, Pllc - NPI 1023126786

Pediatric Dentistry Arlington South, Pllc is a Pediatric Dentistry in Arlington, Texas. Pediatric Dentistry Arlington South, Pllc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dentistry Arlington South, Pllc is 1023126786. The last update date is 2023-01-30.

Pediatric Dentistry Arlington South, Pllc's current location address is 4220 Little Road, Arlington, Texas. You can contact this provider via phone number 8174782300 and fax number 8174784904. The mailing address for Pediatric Dentistry Arlington South, Pllc is 4220 Little Road, Arlington, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pediatric Dentistry Arlington South, Pllc
Address 4220 Little Road, Arlington, Texas
Phone Number 8174782300
Fax Number 8174784904
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Miller W Charles
Credentials DDS, MS
Telephone Number 8174782300

NPI Number Detail

NPI Number 1023126786
Provider Enumeration Date 2006-08-25
Last Updated Date 2023-01-30

Provider Mailing Address Detail

Address 4220 Little Road
City Arlington
State Texas (TX)
Post Code 76016
Phone Number 8174782300
Fax Number 8174784904

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 9223
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
285834201 TX --

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FAQs about Pediatric Dentistry Arlington South, Pllc

What is the unique 10-digit identification code assigned to Pediatric Dentistry Arlington South, Pllc by the Centers for Medicare & Medicaid Services?

The Pediatric Dentistry Arlington South, Pllc has been issued the NPI (National Provider Identifier) 1023126786, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Pediatric Dentistry Arlington South, Pllc is located?

The Pediatric Dentistry Arlington South, Pllc is situated at the following address: 4220 Little Road, Arlington, TX, 76016.

What is Pediatric Dentistry Arlington South, Pllc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Pediatric Dentistry Arlington South, Pllc's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.

On what date was the 1023126786 assigned to Pediatric Dentistry Arlington South, Pllc?

The Pediatric Dentistry Arlington South, Pllc was issued its 1023126786 on 2006-08-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Pediatric Dentistry Arlington South, Pllc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Pediatric Dentistry Arlington South, Pllc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-01-30.

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