Northeast Children'S Dentistry, Inc in San Antonio - Pediatric Dentistry
Northeast Children'S Dentistry, Inc - NPI 1245252238
Northeast Children'S Dentistry, Inc is a Pediatric Dentistry in San Antonio, Texas. Northeast Children'S Dentistry, Inc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Northeast Children'S Dentistry, Inc is 1245252238. The last update date is 2019-08-15.
Northeast Children'S Dentistry, Inc's current location address is 8606 Village Dr, San Antonio, Texas. You can contact this provider via phone number 2106546882 and fax number 2106540036. The mailing address for Northeast Children'S Dentistry, Inc is 8606 Village Dr, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeast Children'S Dentistry, Inc |
|---|---|
| Address | 8606 Village Dr, San Antonio, Texas |
| Phone Number | 2106546882 |
| Fax Number | 2106540036 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE C |
|---|---|
| Authorized Official Name | Hay Tracey |
| Telephone Number | 2106546882 |
NPI Number Detail
| NPI Number | 1245252238 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2019-08-15 |
Provider Mailing Address Detail
| Address | 8606 Village Dr |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782175506 |
| Phone Number | 2106546882 |
| Fax Number | 2106540036 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 11694 |
|
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 |
|---|---|---|---|
| 00K78V | TX | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identifier code issued to Northeast Children'S Dentistry, Inc by the Centers for Medicare & Medicaid Services?
The Northeast Children'S Dentistry, Inc has been assigned the NPI (National Provider Identifier) 1245252238 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Northeast Children'S Dentistry, Inc located?
The Northeast Children'S Dentistry, Inc is located at 8606 Village Dr, San Antonio, TX 782175506.
What is Northeast Children'S Dentistry, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Northeast Children'S Dentistry, Inc's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
When did Northeast Children'S Dentistry, Inc receive its 1245252238 assignment?
The Northeast Children'S Dentistry, Inc was assigned its 1245252238 on 2006-07-25, which is the date when this unique identifier was issued to the organization.
When was the Northeast Children'S Dentistry, Inc's information last updated?
The Northeast Children'S Dentistry, Inc's information was last updated on 2019-08-15.
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