Kevin Richard Markham in Provo - Pediatric Dentistry

Kevin Richard Markham - NPI 1598830291

Kevin Richard Markham is a Pediatric Dentistry in Provo, Utah. Kevin Richard Markham practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kevin Richard Markham is 1598830291. The last update date is 2007-07-08.

Kevin Richard Markham's current location address is 745 North 500 West, Provo, Utah. You can contact this provider via phone number 8013734200 and fax number 8013730816. The mailing address for Kevin Richard Markham is 745 North 500 West, Provo, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin Richard Markham
Address 745 North 500 West, Provo, Utah
Phone Number 8013734200
Fax Number 8013730816
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1598830291
Provider Enumeration Date 2006-11-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 745 North 500 West
City Provo
State Utah (UT)
Post Code 84601
Phone Number 8013734200
Fax Number 8013730816

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 144270-8903
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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FAQs about Kevin Richard Markham

What is the Kevin Richard Markham's 1598830291?

The Kevin Richard Markham's NPI (National Provider Identifier) Number is 1598830291. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Kevin Richard Markham's facilities are situated?

The facilities of Kevin Richard Markham are physically located at the following address: 745 North 500 West, Provo, UT, 84601.

What is Kevin Richard Markham's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kevin Richard Markham's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.

On what date did the Kevin Richard Markham receive the assignment of its 1598830291 from the Centers for Medicare & Medicaid Services?

The Kevin Richard Markham was issued its 1598830291 by the Centers for Medicare & Medicaid Services on 2006-11-21.

As of what date were the details related to Kevin Richard Markham most recently updated or revised?

The information pertaining to Kevin Richard Markham, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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