Stevenson Pediatric Dentistry P.C. in Riverton - Pediatric Dentistry
Stevenson Pediatric Dentistry P.C. - NPI 1578638854
Stevenson Pediatric Dentistry P.C. is a Pediatric Dentistry in Riverton, Utah. Stevenson Pediatric Dentistry P.C. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Stevenson Pediatric Dentistry P.C. is 1578638854. The last update date is 2014-11-18.
Stevenson Pediatric Dentistry P.C.'s current location address is 4019 W 12600 S, Riverton, Utah. You can contact this provider via phone number 8013027938 and fax number 8013029409. The mailing address for Stevenson Pediatric Dentistry P.C. is 4019 W 12600 S, Riverton, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stevenson Pediatric Dentistry P.C. |
|---|---|
| Address | 4019 W 12600 S, Riverton, Utah |
| Phone Number | 8013027938 |
| Fax Number | 8013029409 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER, PRE |
|---|---|
| Authorized Official Name | Stevenson Daniel Nathan |
| Credentials | D.D.S. |
| Telephone Number | 8013027938 |
NPI Number Detail
| NPI Number | 1578638854 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2014-11-18 |
Provider Mailing Address Detail
| Address | 4019 W 12600 S |
|---|---|
| City | Riverton |
| State | Utah (UT) |
| Post Code | 84096 |
| Phone Number | 8013027938 |
| Fax Number | 8013029409 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 5863508-9923 |
|
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. |
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What is the unique provider identifier assigned to Stevenson Pediatric Dentistry P.C.?
The Stevenson Pediatric Dentistry P.C. has been issued the NPI (National Provider Identifier) 1578638854 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Stevenson Pediatric Dentistry P.C. located?
The Stevenson Pediatric Dentistry P.C. is located at 4019 W 12600 S, Riverton, UT 84096.
What is Stevenson Pediatric Dentistry P.C.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stevenson Pediatric Dentistry P.C. is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578638854 to Stevenson Pediatric Dentistry P.C.?
The Centers for Medicare & Medicaid Services assigned the 1578638854 to Stevenson Pediatric Dentistry P.C. on 2006-11-21.
When was the information regarding Stevenson Pediatric Dentistry P.C. most recently updated?
The details pertaining to the Stevenson Pediatric Dentistry P.C., including its address, specialty, and other relevant information, were last refreshed on 2014-11-18.
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