Miles Madison is a Periodontics in El Monte, California. Miles Madison practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Miles Madison is 1477687580. The last update date is 2007-07-09.
Miles Madison's current location address is 3131 Santa Anita Ave, El Monte, California. You can contact this provider via phone number 6264442605 and fax number 6264440615. The mailing address for Miles Madison is 3131 Santa Anita Ave, El Monte, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Miles Madison |
|---|---|
| Address | 3131 Santa Anita Ave, El Monte, California |
| Phone Number | 6264442605 |
| Fax Number | 6264440615 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1477687580 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3131 Santa Anita Ave |
|---|---|
| City | El Monte |
| State | California (CA) |
| Post Code | 917331369 |
| Phone Number | 6264442605 |
| Fax Number | 6264440615 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 37446 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| B37446 | CA | -- |
Post Comment/ Review Below
What is the Miles Madison's 1477687580?
The Miles Madison's NPI (National Provider Identifier) Number is 1477687580. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Miles Madison?
The Miles Madison is situated at 3131 Santa Anita Ave, in the city of El Monte, state of CA, with the zip code 917331369.
What is Miles Madison's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Miles Madison is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1477687580 to Miles Madison?
The Centers for Medicare & Medicaid Services assigned the 1477687580 to Miles Madison on 2007-03-14.
As of what date were the details related to Miles Madison most recently updated or revised?
The information pertaining to Miles Madison, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
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