Ronald Nelson Fadal in Longview - Pediatric Dentistry
Ronald Nelson Fadal - NPI 1982759379
Ronald Nelson Fadal is a Pediatric Dentistry in Longview, Texas. Ronald Nelson Fadal practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Ronald Nelson Fadal is 1982759379. The last update date is 2007-07-08.
Ronald Nelson Fadal's current location address is 5 Doctor Cir, Longview, Texas. You can contact this provider via phone number 9037586406 and fax number 9037588116. The mailing address for Ronald Nelson Fadal is 5 Doctor Cir, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Nelson Fadal |
|---|---|
| Address | 5 Doctor Cir, Longview, Texas |
| Phone Number | 9037586406 |
| Fax Number | 9037588116 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1982759379 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5 Doctor Cir |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756055050 |
| Phone Number | 9037586406 |
| Fax Number | 9037588116 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 18784 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Ronald Nelson Fadal by the Centers for Medicare & Medicaid Services (CMS)?
The Ronald Nelson Fadal has been assigned the NPI (National Provider Identifier) 1982759379. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Ronald Nelson Fadal's facilities are situated?
The facilities of Ronald Nelson Fadal are physically located at the following address: 5 Doctor Cir, Longview, TX, 756055050.
What is Ronald Nelson Fadal's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ronald Nelson Fadal's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
When did Ronald Nelson Fadal receive its 1982759379 assignment?
The Ronald Nelson Fadal was assigned its 1982759379 on 2007-01-24, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Ronald Nelson Fadal, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ronald Nelson Fadal, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.