Vine Street Pediatric Dentistry in Murray - Pediatric Dentistry
Vine Street Pediatric Dentistry - NPI 1962609644
Vine Street Pediatric Dentistry is a Pediatric Dentistry in Murray, Utah. Vine Street Pediatric Dentistry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Vine Street Pediatric Dentistry is 1962609644. The last update date is 2020-08-22.
Vine Street Pediatric Dentistry's current location address is 678 E Vine St, Murray, Utah. You can contact this provider via phone number 8012681135 and fax number 8016857630. The mailing address for Vine Street Pediatric Dentistry is 678 E Vine St, Murray, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vine Street Pediatric Dentistry |
|---|---|
| Address | 678 E Vine St, Murray, Utah |
| Phone Number | 8012681135 |
| Fax Number | 8016857630 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Nicol Marci |
| Telephone Number | 8012681135 |
NPI Number Detail
| NPI Number | 1962609644 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 678 E Vine St |
|---|---|
| City | Murray |
| State | Utah (UT) |
| Post Code | 841075546 |
| Phone Number | 8012681135 |
| Fax Number | 8016857630 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
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 Vine Street Pediatric Dentistry's 1962609644?
The Vine Street Pediatric Dentistry's NPI (National Provider Identifier) Number is 1962609644. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Vine Street Pediatric Dentistry is located?
The Vine Street Pediatric Dentistry is situated at the following address: 678 E Vine St, Murray, UT, 841075546.
What is Vine Street Pediatric Dentistry's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Vine Street Pediatric Dentistry's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
When was the Vine Street Pediatric Dentistry's 1962609644 issued?
The Vine Street Pediatric Dentistry's 1962609644 was issued on 2007-06-27.
When was the Vine Street Pediatric Dentistry's information last updated?
The Vine Street Pediatric Dentistry's information was last updated on 2020-08-22.