Park-West Pediatric Dental Associates in Green Bay - Pediatric Dentistry
Park-West Pediatric Dental Associates - NPI 1730397233
Park-West Pediatric Dental Associates is a Pediatric Dentistry in Green Bay, Wisconsin. Park-West Pediatric Dental Associates practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Park-West Pediatric Dental Associates is 1730397233. The last update date is 2020-08-22.
Park-West Pediatric Dental Associates's current location address is 125 Siegler St, Green Bay, Wisconsin. You can contact this provider via phone number 9205928940. The mailing address for Park-West Pediatric Dental Associates is 125 Siegler St, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Park-West Pediatric Dental Associates |
|---|---|
| Address | 125 Siegler St, Green Bay, Wisconsin |
| Phone Number | 9205928940 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PEDIATRIC |
|---|---|
| Authorized Official Name | Van Miller James Eric |
| Credentials | DDS |
| Telephone Number | 9205928940 |
NPI Number Detail
| NPI Number | 1730397233 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 125 Siegler St |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543032635 |
| Phone Number | 9205928940 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 5182-015 |
|
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 unique provider identifier assigned to Park-West Pediatric Dental Associates?
The Park-West Pediatric Dental Associates has been issued the NPI (National Provider Identifier) 1730397233 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Park-West Pediatric Dental Associates located?
The Park-West Pediatric Dental Associates is located at 125 Siegler St, Green Bay, WI 543032635.
What is Park-West Pediatric Dental Associates's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Park-West Pediatric Dental Associates'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 Park-West Pediatric Dental Associates receive the assignment of its 1730397233 from the Centers for Medicare & Medicaid Services?
The Park-West Pediatric Dental Associates was issued its 1730397233 by the Centers for Medicare & Medicaid Services on 2007-05-18.
When was the information related to Park-West Pediatric Dental Associates most recently updated or refreshed?
The details pertaining to the Park-West Pediatric Dental Associates, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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