Progressive Pediatric Dentist Sc in Oak Creek - Pediatric Dentistry
Progressive Pediatric Dentist Sc - NPI 1174638142
Progressive Pediatric Dentist Sc is a Pediatric Dentistry in Oak Creek, Wisconsin. Progressive Pediatric Dentist Sc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Progressive Pediatric Dentist Sc is 1174638142. The last update date is 2010-03-10.
Progressive Pediatric Dentist Sc's current location address is 8375 S Howell Ave, Oak Creek, Wisconsin. You can contact this provider via phone number 4147681020 and fax number 4147688866. The mailing address for Progressive Pediatric Dentist Sc is 8375 S Howell Ave, Oak Creek, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Progressive Pediatric Dentist Sc |
|---|---|
| Address | 8375 S Howell Ave, Oak Creek, Wisconsin |
| Phone Number | 4147681020 |
| Fax Number | 4147688866 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Chybowski Robert Steven |
| Telephone Number | 4147681020 |
NPI Number Detail
| NPI Number | 1174638142 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2010-03-10 |
Provider Mailing Address Detail
| Address | 8375 S Howell Ave |
|---|---|
| City | Oak Creek |
| State | Wisconsin (WI) |
| Post Code | 531548344 |
| Phone Number | 4147681020 |
| Fax Number | 4147688866 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 4919 |
|
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 |
|---|---|---|---|
| 38393100 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Progressive Pediatric Dentist Sc by the Centers for Medicare & Medicaid Services?
The Progressive Pediatric Dentist Sc has been issued the NPI (National Provider Identifier) 1174638142, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Progressive Pediatric Dentist Sc?
The Progressive Pediatric Dentist Sc is physically situated at 8375 S Howell Ave, in the city of Oak Creek, state of WI, with the postal code 531548344.
What is Progressive Pediatric Dentist Sc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Progressive Pediatric Dentist Sc is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date did the Progressive Pediatric Dentist Sc receive its 1174638142 assignment from the Centers for Medicare & Medicaid Services?
The Progressive Pediatric Dentist Sc was assigned its 1174638142 by the Centers for Medicare & Medicaid Services on 2006-08-20.
As of what date were the details related to Progressive Pediatric Dentist Sc most recently updated or revised?
The information pertaining to Progressive Pediatric Dentist Sc, including its address, specialty, and other relevant details, was last updated or revised on 2010-03-10.
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