Children'S Dental Health Center, S.C. in Appleton - Pediatric Dentistry
Children'S Dental Health Center, S.C. - NPI 1710968086
Children'S Dental Health Center, S.C. is a Pediatric Dentistry in Appleton, Wisconsin. Children'S Dental Health Center, S.C. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Children'S Dental Health Center, S.C. is 1710968086. The last update date is 2020-08-22.
Children'S Dental Health Center, S.C.'s current location address is W3132 Van Roy Rd, Appleton, Wisconsin. You can contact this provider via phone number 9207312566 and fax number 9207317868. The mailing address for Children'S Dental Health Center, S.C. is W3132 Van Roy Rd, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Children'S Dental Health Center, S.C. |
|---|---|
| Address | W3132 Van Roy Rd, Appleton, Wisconsin |
| Phone Number | 9207312566 |
| Fax Number | 9207317868 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Steinmetz J Mark |
| Credentials | D.D.S., M. |
| Telephone Number | 9207312566 |
NPI Number Detail
| NPI Number | 1710968086 |
|---|---|
| Provider Enumeration Date | 2005-11-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | W3132 Van Roy Rd |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549153982 |
| Phone Number | 9207312566 |
| Fax Number | 9207317868 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 4586 |
|
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 |
|---|---|---|---|
| 33570700 | WI | -- | |
| 33732800 | WI | -- | |
| 33744500 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Children'S Dental Health Center, S.C. by the Centers for Medicare & Medicaid Services (CMS)?
The Children'S Dental Health Center, S.C. has been assigned the NPI (National Provider Identifier) 1710968086. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Children'S Dental Health Center, S.C. is physically located?
The Children'S Dental Health Center, S.C. is situated at the following address: W3132 Van Roy Rd, Appleton, WI 549153982.
What is Children'S Dental Health Center, S.C.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Children'S Dental Health Center, S.C. is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date did the Children'S Dental Health Center, S.C. receive the assignment of its 1710968086 from the Centers for Medicare & Medicaid Services?
The Children'S Dental Health Center, S.C. was issued its 1710968086 by the Centers for Medicare & Medicaid Services on 2005-11-14.
As of what date was the information regarding Children'S Dental Health Center, S.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Children'S Dental Health Center, S.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.