Periodontics Pa in Hagerstown - Periodontics
Periodontics Pa - NPI 1841489739
Periodontics Pa is a Periodontics in Hagerstown, Maryland. Periodontics Pa practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Periodontics Pa is 1841489739. The last update date is 2007-10-17.
Periodontics Pa's current location address is 19816 Leitersburg Pike, Hagerstown, Maryland. You can contact this provider via phone number 3017977410 and fax number 3017977412. The mailing address for Periodontics Pa is 19816 Leitersburg Pike, Hagerstown, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Periodontics Pa |
|---|---|
| Address | 19816 Leitersburg Pike, Hagerstown, Maryland |
| Phone Number | 3017977410 |
| Fax Number | 3017977412 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Nitzell Robert John |
| Credentials | DDS |
| Telephone Number | 3017977410 |
NPI Number Detail
| NPI Number | 1841489739 |
|---|---|
| Provider Enumeration Date | 2007-10-17 |
| Last Updated Date | 2007-10-17 |
Provider Mailing Address Detail
| Address | 19816 Leitersburg Pike |
|---|---|
| City | Hagerstown |
| State | Maryland (MD) |
| Post Code | 217421444 |
| Phone Number | 3017977410 |
| Fax Number | 3017977412 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
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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 identifier code issued to Periodontics Pa by the Centers for Medicare & Medicaid Services?
The Periodontics Pa has been assigned the NPI (National Provider Identifier) 1841489739. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Periodontics Pa is located?
The Periodontics Pa is situated at the following address: 19816 Leitersburg Pike, Hagerstown, MD, 217421444.
What is the area of specialization for Periodontics Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Periodontics Pa is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1841489739 to Periodontics Pa?
The Periodontics Pa received its 1841489739 assignment from the Centers for Medicare & Medicaid Services on 2007-10-17.
When was the information related to Periodontics Pa most recently updated or refreshed?
The details pertaining to the Periodontics Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-17.
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