Yeritxa Enid Viera in Douglasville - Periodontics
Yeritxa Enid Viera - NPI 1710101621
Yeritxa Enid Viera is a Periodontics in Douglasville, Georgia. Yeritxa Enid Viera practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Yeritxa Enid Viera is 1710101621. The last update date is 2023-03-28.
Yeritxa Enid Viera's current location address is 2905 Legion Lake Rd, Douglasville, Georgia. You can contact this provider via phone number 9397175599. The mailing address for Yeritxa Enid Viera is 2905 Legion Lake Rd, Douglasville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Yeritxa Enid Viera |
|---|---|
| Address | 2905 Legion Lake Rd, Douglasville, Georgia |
| Phone Number | 9397175599 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1710101621 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2023-03-28 |
Provider Mailing Address Detail
| Address | 2905 Legion Lake Rd |
|---|---|
| City | Douglasville |
| State | Georgia (GA) |
| Post Code | 301352984 |
| Phone Number | 9397175599 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 25877 |
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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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What is the unique identifier code issued to Yeritxa Enid Viera by the Centers for Medicare & Medicaid Services?
The Yeritxa Enid Viera has been assigned the NPI (National Provider Identifier) 1710101621. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Yeritxa Enid Viera located?
The Yeritxa Enid Viera is located at 2905 Legion Lake Rd, Douglasville, GA 301352984.
What is Yeritxa Enid Viera's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Yeritxa Enid Viera is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.
When did the Yeritxa Enid Viera receive its 1710101621?
The Yeritxa Enid Viera was issued its 1710101621 on 2007-04-12, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Yeritxa Enid Viera last refreshed?
The information related to the Yeritxa Enid Viera, including its address, specialty, and other relevant details, was last updated on 2023-03-28.