Peter S Domagala is a Periodontics in Durango, Colorado. Peter S Domagala practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Peter S Domagala is 1356415673. The last update date is 2022-09-18.
Peter S Domagala's current location address is 2323 W 2nd Ave Ste E, Durango, Colorado. You can contact this provider via phone number 9704033299. The mailing address for Peter S Domagala is 2323 W 2nd Ave Ste E, Durango, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter S Domagala |
|---|---|
| Address | 2323 W 2nd Ave Ste E, Durango, Colorado |
| Phone Number | 9704033299 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1356415673 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2022-09-18 |
Provider Mailing Address Detail
| Address | 2323 W 2nd Ave Ste E |
|---|---|
| City | Durango |
| State | Colorado (CO) |
| Post Code | 813014646 |
| Phone Number | 9704033299 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 021-001744 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Peter S Domagala?
The Peter S Domagala has been issued the NPI (National Provider Identifier) 1356415673 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Peter S Domagala?
The Peter S Domagala is physically situated at 2323 W 2Nd Ave Ste E, in the city of Durango, state of CO, with the postal code 813014646.
What is Peter S Domagala's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Peter S Domagala is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
On what date did the Peter S Domagala receive its 1356415673 assignment from the Centers for Medicare & Medicaid Services?
The Peter S Domagala was assigned its 1356415673 by the Centers for Medicare & Medicaid Services on 2006-11-20.
When was the Peter S Domagala's information last updated?
The Peter S Domagala's information was last updated on 2022-09-18.