Timpanogas Pediatric Dentistry in American Fork - Pediatric Dentistry

Timpanogas Pediatric Dentistry - NPI 1225184625

Timpanogas Pediatric Dentistry is a Pediatric Dentistry in American Fork, Utah. Timpanogas Pediatric Dentistry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Timpanogas Pediatric Dentistry is 1225184625. The last update date is 2008-07-15.

Timpanogas Pediatric Dentistry's current location address is 25 North 1100 East, American Fork, Utah. You can contact this provider via phone number 8014921346 and fax number 8014921320. The mailing address for Timpanogas Pediatric Dentistry is 25 North 1100 East, American Fork, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Timpanogas Pediatric Dentistry
Address 25 North 1100 East, American Fork, Utah
Phone Number 8014921346
Fax Number 8014921320
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SURGEON
Authorized Official Name Jensen A Scott
Telephone Number 8014921346

NPI Number Detail

NPI Number 1225184625
Provider Enumeration Date 2007-01-26
Last Updated Date 2008-07-15

Provider Mailing Address Detail

Address 25 North 1100 East
City American Fork
State Utah (UT)
Post Code 84003
Phone Number 8014921346
Fax Number 8014921320

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 3085413-9923
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
518047570014 UT --

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FAQs about Timpanogas Pediatric Dentistry

What is the unique 10-digit identification code assigned to Timpanogas Pediatric Dentistry by the Centers for Medicare & Medicaid Services?

The Timpanogas Pediatric Dentistry has been issued the NPI (National Provider Identifier) 1225184625, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Timpanogas Pediatric Dentistry's physical address?

The Timpanogas Pediatric Dentistry is physically located at 25 North 1100 East, in the city of American Fork, UT, with the postal code 84003.

What is the Timpanogas Pediatric Dentistry's area of specialization and corresponding taxonomy classification?

The Timpanogas Pediatric Dentistry's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.

On what date did Timpanogas Pediatric Dentistry receive its 1225184625 assignment from the Centers for Medicare & Medicaid Services?

The Timpanogas Pediatric Dentistry was assigned its 1225184625 on 2007-01-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

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

The details related to Timpanogas Pediatric Dentistry, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-15.

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