Guzman Pediatric Dentistry in Mission - Pediatric Dentistry

Guzman Pediatric Dentistry - NPI 1609049527

Guzman Pediatric Dentistry is a Pediatric Dentistry in Mission, Texas. Guzman Pediatric Dentistry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Guzman Pediatric Dentistry is 1609049527. The last update date is 2012-05-21.

Guzman Pediatric Dentistry's current location address is 1317 St Claire Blvd Ste A3, Mission, Texas. You can contact this provider via phone number 9565814403 and fax number 9565812242. The mailing address for Guzman Pediatric Dentistry is 1317 St Claire Blvd Ste A3, Mission, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Guzman Pediatric Dentistry
Address 1317 St Claire Blvd Ste A3, Mission, Texas
Phone Number 9565814403
Fax Number 9565812242
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PEDIATRIC
Authorized Official Name Guzman Ivan Sergio
Credentials DDS
Telephone Number 9565814403

NPI Number Detail

NPI Number 1609049527
Provider Enumeration Date 2008-04-11
Last Updated Date 2012-05-21

Provider Mailing Address Detail

Address 1317 St Claire Blvd Ste A3
City Mission
State Texas (TX)
Post Code 785726636
Phone Number 9565814403
Fax Number 9565812242

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 22644
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
193025701 TX --

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FAQs about Guzman Pediatric Dentistry

What is the Guzman Pediatric Dentistry's unique identification number?

The Guzman Pediatric Dentistry has been assigned the NPI (National Provider Identifier) Number 1609049527 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Guzman Pediatric Dentistry is physically located?

The Guzman Pediatric Dentistry is physically situated at the following address: 1317 St Claire Blvd Ste A3, Mission, TX, 785726636.

What is Guzman Pediatric Dentistry's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Guzman Pediatric Dentistry 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 originally issue the 1609049527 to Guzman Pediatric Dentistry?

The Centers for Medicare & Medicaid Services originally issued the 1609049527 to Guzman Pediatric Dentistry on 2008-04-11.

When was the information pertaining to Guzman Pediatric Dentistry most recently updated or revised?

The details related to Guzman Pediatric Dentistry, including its address, specialty, and other relevant information, were last updated or revised on 2012-05-21.

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