M. Wade Rallison in Washington Terrace - Pediatric Dentistry

M. Wade Rallison - NPI 1548426851

M. Wade Rallison is a Pediatric Dentistry in Washington Terrace, Utah. M. Wade Rallison practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for M. Wade Rallison is 1548426851. The last update date is 2011-06-22.

M. Wade Rallison's current location address is 5275 S. Adams Ave., Suite C, Washington Terrace, Utah. You can contact this provider via phone number 8014756433. The mailing address for M. Wade Rallison is 5275 S. Adams Ave., Suite C, Washington Terrace, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name M. Wade Rallison
Address 5275 S. Adams Ave., Suite C, Washington Terrace, Utah
Phone Number 8014756433
Fax Number
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1548426851
Provider Enumeration Date 2008-08-06
Last Updated Date 2011-06-22

Provider Mailing Address Detail

Address 5275 S. Adams Ave., Suite C
City Washington Terrace
State Utah (UT)
Post Code 84405
Phone Number 8014756433
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 5118697-9923
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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FAQs about M. Wade Rallison

What is the unique 10-digit identifier code assigned to M. Wade Rallison by the Centers for Medicare & Medicaid Services?

The M. Wade Rallison has been issued the NPI (National Provider Identifier) 1548426851 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where M. Wade Rallison is physically located?

The M. Wade Rallison is physically situated at the following address: 5275 S. Adams Ave., Suite C, Washington Terrace, UT, 84405.

What is M. Wade Rallison's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The M. Wade Rallison's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.

When did M. Wade Rallison receive its 1548426851 assignment?

The M. Wade Rallison was assigned its 1548426851 on 2008-08-06, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to M. Wade Rallison most recently updated or revised?

The information pertaining to M. Wade Rallison, including its address, specialty, and other relevant details, was last updated or revised on 2011-06-22.

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