Pradeep Adatrow is a Periodontics in Southaven, Mississippi. Pradeep Adatrow practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Pradeep Adatrow is 1992803571. The last update date is 2020-06-29.
Pradeep Adatrow's current location address is 7135 Getwell Rd Ste 100, Southaven, Mississippi. You can contact this provider via phone number 6626554868. The mailing address for Pradeep Adatrow is 7135 Getwell Rd Ste 100, Southaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pradeep Adatrow |
|---|---|
| Address | 7135 Getwell Rd Ste 100, Southaven, Mississippi |
| Phone Number | 6626554868 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1992803571 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2020-06-29 |
Provider Mailing Address Detail
| Address | 7135 Getwell Rd Ste 100 |
|---|---|
| City | Southaven |
| State | Mississippi (MS) |
| Post Code | 386729659 |
| Phone Number | 6626554868 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | PER-505-16 |
|
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 |
|---|---|---|---|
| 3727-13 | MS | DENTAL LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Pradeep Adatrow by the Centers for Medicare & Medicaid Services?
The Pradeep Adatrow has been assigned the NPI (National Provider Identifier) 1992803571. 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 address where Pradeep Adatrow is physically located?
The Pradeep Adatrow is situated at the following address: 7135 Getwell Rd Ste 100, Southaven, MS 386729659.
What is Pradeep Adatrow's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pradeep Adatrow is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
When did the Pradeep Adatrow receive its 1992803571?
The Pradeep Adatrow was issued its 1992803571 on 2006-09-20, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Pradeep Adatrow, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pradeep Adatrow, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-06-29.