Prashant Gagneja in Portland - Pediatric Dentistry
Prashant Gagneja - NPI 1194800177
Prashant Gagneja is a Pediatric Dentistry in Portland, Oregon. Prashant Gagneja practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Prashant Gagneja is 1194800177. The last update date is 2011-01-03.
Prashant Gagneja's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034948914. The mailing address for Prashant Gagneja is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Prashant Gagneja |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034948914 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | BDS, MDS |
NPI Number Detail
| NPI Number | 1194800177 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2011-01-03 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034948914 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DF0017 |
|
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 |
|---|---|---|---|
| 22774 | OR | -- |
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What is the unique 10-digit identifier code issued to Prashant Gagneja by the Centers for Medicare & Medicaid Services?
The Prashant Gagneja has been assigned the NPI (National Provider Identifier) 1194800177 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Prashant Gagneja's physical address?
The Prashant Gagneja is physically located at 3181 Sw Sam Jackson Park Rd, in the city of Portland, OR, with the postal code 972393011.
What is Prashant Gagneja's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Prashant Gagneja's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
When did the Prashant Gagneja receive its 1194800177?
The Prashant Gagneja was issued its 1194800177 on 2006-10-26, which is the date when the organization was assigned this unique identifier.
When was the information related to Prashant Gagneja most recently updated or refreshed?
The details pertaining to the Prashant Gagneja, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-01-03.
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