Matthew Shelby Slaven in Ballwin - Periodontics
Matthew Shelby Slaven - NPI 1598988909
Matthew Shelby Slaven is a Periodontics in Ballwin, Missouri. Matthew Shelby Slaven practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Matthew Shelby Slaven is 1598988909. The last update date is 2007-07-08.
Matthew Shelby Slaven's current location address is 238 Cedar Trail Dr, Ballwin, Missouri. You can contact this provider via phone number 6365272307. The mailing address for Matthew Shelby Slaven is 238 Cedar Trail Dr, Ballwin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Shelby Slaven |
|---|---|
| Address | 238 Cedar Trail Dr, Ballwin, Missouri |
| Phone Number | 6365272307 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1598988909 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 238 Cedar Trail Dr |
|---|---|
| City | Ballwin |
| State | Missouri (MO) |
| Post Code | 630112655 |
| Phone Number | 6365272307 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 2005014238 |
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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 10-digit identification code assigned to Matthew Shelby Slaven by the Centers for Medicare & Medicaid Services?
The Matthew Shelby Slaven has been issued the NPI (National Provider Identifier) 1598988909, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Matthew Shelby Slaven's physical address?
The Matthew Shelby Slaven is physically located at 238 Cedar Trail Dr, in the city of Ballwin, MO, with the postal code 630112655.
What is the Matthew Shelby Slaven's area of specialization and corresponding taxonomy classification?
The Matthew Shelby Slaven's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1598988909 to Matthew Shelby Slaven?
The Centers for Medicare & Medicaid Services assigned the 1598988909 to Matthew Shelby Slaven on 2007-04-11.
When was the information pertaining to Matthew Shelby Slaven most recently updated or revised?
The details related to Matthew Shelby Slaven, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC