Undertheseadentistryforchildren in Vancouver - Pediatric Dentistry
Undertheseadentistryforchildren - NPI 1396915500
Undertheseadentistryforchildren is a Pediatric Dentistry in Vancouver, Washington. Undertheseadentistryforchildren practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Undertheseadentistryforchildren is 1396915500. The last update date is 2008-03-04.
Undertheseadentistryforchildren's current location address is 3205 Se 192nd Ave, Vancouver, Washington. You can contact this provider via phone number 3608919283 and fax number 3608918030. The mailing address for Undertheseadentistryforchildren is 3205 Se 192nd Ave, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Undertheseadentistryforchildren |
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Address | 3205 Se 192nd Ave, Vancouver, Washington |
Phone Number | 3608919283 |
Fax Number | 3608918030 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER/PEDI |
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Authorized Official Name | Butler Denice Pamela |
Credentials | DMD |
Telephone Number | 3608919283 |
NPI Number Detail
NPI Number | 1396915500 |
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Provider Enumeration Date | 2008-03-04 |
Last Updated Date | 2008-03-04 |
Provider Mailing Address Detail
Address | 3205 Se 192nd Ave |
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City | Vancouver |
State | Washington (WA) |
Post Code | 98683 |
Phone Number | 3608919283 |
Fax Number | 3608918030 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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Taxonomy | 1223P0221X |
Licence No | DE00010355 |
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. |
Post Comment/ Review Below
What is the unique identifier code issued to Undertheseadentistryforchildren by the Centers for Medicare & Medicaid Services?
The Undertheseadentistryforchildren has been assigned the NPI (National Provider Identifier) 1396915500. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Undertheseadentistryforchildren is physically located?
The Undertheseadentistryforchildren is physically situated at the following address: 3205 Se 192Nd Ave, Vancouver, WA, 98683.
What is the area of specialization for Undertheseadentistryforchildren, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Undertheseadentistryforchildren is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
When did the Undertheseadentistryforchildren receive its 1396915500?
The Undertheseadentistryforchildren was issued its 1396915500 on 2008-03-04, which is the date when the organization was assigned this unique identifier.
When was the information related to Undertheseadentistryforchildren most recently updated or refreshed?
The details pertaining to the Undertheseadentistryforchildren, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-04.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC