Donald Ray Gifford in Provo - Pediatric Dentistry
Donald Ray Gifford - NPI 1821093048
Donald Ray Gifford is a Pediatric Dentistry in Provo, Utah. Donald Ray Gifford practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Donald Ray Gifford is 1821093048. The last update date is 2013-09-24.
Donald Ray Gifford's current location address is 2230 N University Pkwy, Provo, Utah. You can contact this provider via phone number 8013776400 and fax number 8013776450. The mailing address for Donald Ray Gifford is 2230 N University Pkwy, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donald Ray Gifford |
|---|---|
| Address | 2230 N University Pkwy, Provo, Utah |
| Phone Number | 8013776400 |
| Fax Number | 8013776450 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1821093048 |
|---|---|
| Provider Enumeration Date | 2005-06-15 |
| Last Updated Date | 2013-09-24 |
Provider Mailing Address Detail
| Address | 2230 N University Pkwy |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 8460415090 |
| Phone Number | 8013776400 |
| Fax Number | 8013776450 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 2560 |
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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 identification code assigned to Donald Ray Gifford by the Centers for Medicare & Medicaid Services?
The Donald Ray Gifford has been issued the NPI (National Provider Identifier) 1821093048. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Donald Ray Gifford?
The Donald Ray Gifford is physically situated at 2230 N University Pkwy, in the city of Provo, state of UT, with the postal code 8460415090.
What is the Donald Ray Gifford's specialty and taxonomy code?
The Donald Ray Gifford's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1821093048 to Donald Ray Gifford?
The Centers for Medicare & Medicaid Services originally issued the 1821093048 to Donald Ray Gifford on 2005-06-15.
As of what date were the details related to Donald Ray Gifford most recently updated or revised?
The information pertaining to Donald Ray Gifford, including its address, specialty, and other relevant details, was last updated or revised on 2013-09-24.