Penelope J Leggott in Mount Vernon - Pediatric Dentistry

Penelope J Leggott - NPI 1821209388

Penelope J Leggott is a Pediatric Dentistry in Mount Vernon, Washington. Penelope J Leggott practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Penelope J Leggott is 1821209388. The last update date is 2015-05-14.

Penelope J Leggott's current location address is 2210 Kulshan View Dr, Mount Vernon, Washington. You can contact this provider via phone number 3604243811 and fax number 3604248703. The mailing address for Penelope J Leggott is 2210 Kulshan View Dr, Mount Vernon, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Penelope J Leggott
Address 2210 Kulshan View Dr, Mount Vernon, Washington
Phone Number 3604243811
Fax Number 3604248703
Sole Proprietor Y
Credentials DDS MS

NPI Number Detail

NPI Number 1821209388
Provider Enumeration Date 2007-05-25
Last Updated Date 2015-05-14

Provider Mailing Address Detail

Address 2210 Kulshan View Dr
City Mount Vernon
State Washington (WA)
Post Code 982732779
Phone Number 3604243811
Fax Number 3604248703

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No DE00007102
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5017173 WA --
D33488 CA DENTAL LICENSE

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FAQs about Penelope J Leggott

What is the unique 10-digit identifier code assigned to Penelope J Leggott by the Centers for Medicare & Medicaid Services?

The Penelope J Leggott has been issued the NPI (National Provider Identifier) 1821209388 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Penelope J Leggott is geographically located?

The Penelope J Leggott is physically situated at the following location: 2210 Kulshan View Dr, Mount Vernon, WA, 982732779.

What is Penelope J Leggott's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

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

On what date did the Centers for Medicare & Medicaid Services assign the 1821209388 to Penelope J Leggott?

The Centers for Medicare & Medicaid Services assigned the 1821209388 to Penelope J Leggott on 2007-05-25.

When was the information regarding Penelope J Leggott most recently updated?

The details pertaining to the Penelope J Leggott, including its address, specialty, and other relevant information, were last refreshed on 2015-05-14.

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