Kelli L Ettelbrick in Frisco - Pediatric Dentistry
Kelli L Ettelbrick - NPI 1578505038
Kelli L Ettelbrick is a Pediatric Dentistry in Frisco, Texas. Kelli L Ettelbrick practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kelli L Ettelbrick is 1578505038. The last update date is 2009-07-27.
Kelli L Ettelbrick's current location address is 8380 Warren Pkwy, Frisco, Texas. You can contact this provider via phone number 2143870099 and fax number 2143870104. The mailing address for Kelli L Ettelbrick is 8380 Warren Pkwy, Frisco, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelli L Ettelbrick |
|---|---|
| Address | 8380 Warren Pkwy, Frisco, Texas |
| Phone Number | 2143870099 |
| Fax Number | 2143870104 |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1578505038 |
|---|---|
| Provider Enumeration Date | 2006-06-11 |
| Last Updated Date | 2009-07-27 |
Provider Mailing Address Detail
| Address | 8380 Warren Pkwy |
|---|---|
| City | Frisco |
| State | Texas (TX) |
| Post Code | 750344198 |
| Phone Number | 2143870099 |
| Fax Number | 2143870104 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 19146 |
|
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 |
|---|---|---|---|
| 90844401 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kelli L Ettelbrick by the Centers for Medicare & Medicaid Services (CMS)?
The Kelli L Ettelbrick has been assigned the NPI (National Provider Identifier) 1578505038. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Kelli L Ettelbrick?
The Kelli L Ettelbrick is physically situated at 8380 Warren Pkwy, in the city of Frisco, state of TX, with the postal code 750344198.
What is Kelli L Ettelbrick's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kelli L Ettelbrick 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 1578505038 to Kelli L Ettelbrick?
The Centers for Medicare & Medicaid Services assigned the 1578505038 to Kelli L Ettelbrick on 2006-06-11.
When was the information regarding Kelli L Ettelbrick, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelli L Ettelbrick, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-07-27.