Stagecoach Children'S Dental Center in Magnolia - Pediatric Dentistry
Stagecoach Children'S Dental Center - NPI 1861615536
Stagecoach Children'S Dental Center is a Pediatric Dentistry in Magnolia, Texas. Stagecoach Children'S Dental Center practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Stagecoach Children'S Dental Center is 1861615536. The last update date is 2020-08-22.
Stagecoach Children'S Dental Center's current location address is 32931 Decker Prairie Rd, Magnolia, Texas. You can contact this provider via phone number 2812595444 and fax number 2812595425. The mailing address for Stagecoach Children'S Dental Center is 32931 Decker Prairie Rd, Magnolia, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stagecoach Children'S Dental Center |
|---|---|
| Address | 32931 Decker Prairie Rd, Magnolia, Texas |
| Phone Number | 2812595444 |
| Fax Number | 2812595425 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Coe Montgomery Keith |
| Credentials | DDS |
| Telephone Number | 2812595444 |
NPI Number Detail
| NPI Number | 1861615536 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 32931 Decker Prairie Rd |
|---|---|
| City | Magnolia |
| State | Texas (TX) |
| Post Code | 773558496 |
| Phone Number | 2812595444 |
| Fax Number | 2812595425 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 16174 |
|
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 Stagecoach Children'S Dental Center by the Centers for Medicare & Medicaid Services?
The Stagecoach Children'S Dental Center has been assigned the NPI (National Provider Identifier) 1861615536. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Stagecoach Children'S Dental Center?
The Stagecoach Children'S Dental Center is situated at 32931 Decker Prairie Rd, in the city of Magnolia, state of TX, with the zip code 773558496.
What is Stagecoach Children'S Dental Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stagecoach Children'S Dental Center's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861615536 to Stagecoach Children'S Dental Center?
The Centers for Medicare & Medicaid Services originally issued the 1861615536 to Stagecoach Children'S Dental Center on 2007-04-11.
As of what date were the details pertaining to Stagecoach Children'S Dental Center last refreshed?
The information related to the Stagecoach Children'S Dental Center, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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