Theron John Main in South Burlington - Pediatric Dentistry
Theron John Main - NPI 1134346885
Theron John Main is a Pediatric Dentistry in South Burlington, Vermont. Theron John Main practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Theron John Main is 1134346885. The last update date is 2008-06-30.
Theron John Main's current location address is 60 Timber Ln, South Burlington, Vermont. You can contact this provider via phone number 8026525213. The mailing address for Theron John Main is 60 Timber Ln, South Burlington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theron John Main |
|---|---|
| Address | 60 Timber Ln, South Burlington, Vermont |
| Phone Number | 8026525213 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1134346885 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2008-06-30 |
Provider Mailing Address Detail
| Address | 60 Timber Ln |
|---|---|
| City | South Burlington |
| State | Vermont (VT) |
| Post Code | 54037214 |
| Phone Number | 8026525213 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 016-0002271 |
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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 10-digit identification code issued to Theron John Main by the Centers for Medicare & Medicaid Services?
The Theron John Main has been assigned the NPI (National Provider Identifier) 1134346885 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Theron John Main is physically located?
The Theron John Main is situated at the following address: 60 Timber Ln, South Burlington, VT 54037214.
What is Theron John Main's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Theron John Main's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date was the 1134346885 assigned to Theron John Main?
The Theron John Main was issued its 1134346885 on 2007-04-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Theron John Main's information last updated?
The Theron John Main's information was last updated on 2008-06-30.