Randy James Eberly in Norfolk - Pediatric Dentistry
Randy James Eberly - NPI 1639170566
Randy James Eberly is a Pediatric Dentistry in Norfolk, Virginia. Randy James Eberly practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Randy James Eberly is 1639170566. The last update date is 2007-07-08.
Randy James Eberly's current location address is 801 W Little Creek Rd, Norfolk, Virginia. You can contact this provider via phone number 7574233029. The mailing address for Randy James Eberly is 801 W Little Creek Rd, Norfolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randy James Eberly |
|---|---|
| Address | 801 W Little Creek Rd, Norfolk, Virginia |
| Phone Number | 7574233029 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | D. M. D. |
NPI Number Detail
| NPI Number | 1639170566 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 801 W Little Creek Rd |
|---|---|
| City | Norfolk |
| State | Virginia (VA) |
| Post Code | 235052036 |
| Phone Number | 7574233029 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 401007838 |
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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 Randy James Eberly's 1639170566?
The Randy James Eberly's NPI (National Provider Identifier) Number is 1639170566. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Randy James Eberly located?
The Randy James Eberly is located at 801 W Little Creek Rd, Norfolk, VA 235052036.
What is Randy James Eberly's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Randy James Eberly is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date did Randy James Eberly receive its 1639170566 assignment from the Centers for Medicare & Medicaid Services?
The Randy James Eberly was assigned its 1639170566 on 2005-08-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Randy James Eberly most recently updated or refreshed?
The details pertaining to the Randy James Eberly, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.