Josephine C Pandolfo in Peabody - Periodontics
Josephine C Pandolfo - NPI 1821138108
Josephine C Pandolfo is a Periodontics in Peabody, Massachusetts. Josephine C Pandolfo practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Josephine C Pandolfo is 1821138108. The last update date is 2007-07-08.
Josephine C Pandolfo's current location address is 355 Lowell St, Peabody, Massachusetts. You can contact this provider via phone number 9785323316 and fax number 9785389569. The mailing address for Josephine C Pandolfo is 355 Lowell St, Peabody, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Josephine C Pandolfo |
|---|---|
| Address | 355 Lowell St, Peabody, Massachusetts |
| Phone Number | 9785323316 |
| Fax Number | 9785389569 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1821138108 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 355 Lowell St |
|---|---|
| City | Peabody |
| State | Massachusetts (MA) |
| Post Code | 19604000 |
| Phone Number | 9785323316 |
| Fax Number | 9785389569 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 14188 |
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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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| X04554 | MA | BC BS PROVIDER # |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Josephine C Pandolfo by the Centers for Medicare & Medicaid Services?
The Josephine C Pandolfo has been assigned the NPI (National Provider Identifier) 1821138108 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Josephine C Pandolfo?
The Josephine C Pandolfo is situated at 355 Lowell St, in the city of Peabody, state of MA, with the zip code 19604000.
What is Josephine C Pandolfo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Josephine C Pandolfo's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
On what date was the 1821138108 assigned to Josephine C Pandolfo?
The Josephine C Pandolfo was issued its 1821138108 on 2007-02-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Josephine C Pandolfo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Josephine C Pandolfo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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