Katherine Renee Mcgough in Longview - Pediatric Dentistry
Katherine Renee Mcgough - NPI 1134380421
Katherine Renee Mcgough is a Pediatric Dentistry in Longview, Texas. Katherine Renee Mcgough practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Katherine Renee Mcgough is 1134380421. The last update date is 2008-06-19.
Katherine Renee Mcgough's current location address is 2392 H G Mosley Pkwy, Longview, Texas. You can contact this provider via phone number 9037588770 and fax number 9037583334. The mailing address for Katherine Renee Mcgough is 2392 H G Mosley Pkwy, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine Renee Mcgough |
|---|---|
| Address | 2392 H G Mosley Pkwy, Longview, Texas |
| Phone Number | 9037588770 |
| Fax Number | 9037583334 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1134380421 |
|---|---|
| Provider Enumeration Date | 2008-06-19 |
| Last Updated Date | 2008-06-19 |
Provider Mailing Address Detail
| Address | 2392 H G Mosley Pkwy |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756043661 |
| Phone Number | 9037588770 |
| Fax Number | 9037583334 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 16926 |
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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 identifier code issued to Katherine Renee Mcgough by the Centers for Medicare & Medicaid Services (CMS)?
The Katherine Renee Mcgough has been assigned the NPI (National Provider Identifier) 1134380421. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Katherine Renee Mcgough located?
The Katherine Renee Mcgough is located at 2392 H G Mosley Pkwy, Longview, TX 756043661.
What is Katherine Renee Mcgough's area of expertise and its corresponding taxonomy classification?
The Katherine Renee Mcgough's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
When was the Katherine Renee Mcgough's 1134380421 issued?
The Katherine Renee Mcgough's 1134380421 was issued on 2008-06-19.
As of what date were the Katherine Renee Mcgough's details last updated?
The information pertaining to the Katherine Renee Mcgough, including its address, specialty, and other details, was most recently updated on 2008-06-19.