Matthew Ryan Gillham in Austin - Pediatric Dentistry
Matthew Ryan Gillham - NPI 1790896512
Matthew Ryan Gillham is a Pediatric Dentistry in Austin, Texas. Matthew Ryan Gillham practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Matthew Ryan Gillham is 1790896512. The last update date is 2023-06-18.
Matthew Ryan Gillham's current location address is Po Box 170729, Austin, Texas. You can contact this provider via phone number 5122202729. The mailing address for Matthew Ryan Gillham is Po Box 170729, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Ryan Gillham |
|---|---|
| Address | Po Box 170729, Austin, Texas |
| Phone Number | 5122202729 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1790896512 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2023-06-18 |
Provider Mailing Address Detail
| Address | Po Box 170729 |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787170034 |
| Phone Number | 5122202729 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 23162 |
|
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 identification code assigned to Matthew Ryan Gillham by the Centers for Medicare & Medicaid Services?
The Matthew Ryan Gillham has been issued the NPI (National Provider Identifier) 1790896512. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Matthew Ryan Gillham is physically located?
The Matthew Ryan Gillham is physically situated at the following address: Po Box 170729, Austin, TX, 787170034.
What is Matthew Ryan Gillham's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Matthew Ryan Gillham is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
When did Matthew Ryan Gillham receive its 1790896512 assignment?
The Matthew Ryan Gillham was assigned its 1790896512 on 2006-08-31, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Matthew Ryan Gillham last refreshed?
The information related to the Matthew Ryan Gillham, including its address, specialty, and other relevant details, was last updated on 2023-06-18.