Ed Deandrade Dds, Ltd. in Henderson - Periodontics
Ed Deandrade Dds, Ltd. - NPI 1144331588
Ed Deandrade Dds, Ltd. is a Periodontics in Henderson, Nevada. Ed Deandrade Dds, Ltd. practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Ed Deandrade Dds, Ltd. is 1144331588. The last update date is 2020-08-22.
Ed Deandrade Dds, Ltd.'s current location address is 2610 W Horizon Ridge Pkwy, Henderson, Nevada. You can contact this provider via phone number 7022704600 and fax number 7022707773. The mailing address for Ed Deandrade Dds, Ltd. is 2610 W Horizon Ridge Pkwy, Henderson, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ed Deandrade Dds, Ltd. |
|---|---|
| Address | 2610 W Horizon Ridge Pkwy, Henderson, Nevada |
| Phone Number | 7022704600 |
| Fax Number | 7022707773 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | De Andrade Ed |
| Credentials | DDS |
| Telephone Number | 7022704600 |
NPI Number Detail
| NPI Number | 1144331588 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2610 W Horizon Ridge Pkwy |
|---|---|
| City | Henderson |
| State | Nevada (NV) |
| Post Code | 890522869 |
| Phone Number | 7022704600 |
| Fax Number | 7022707773 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 3586 |
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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 identifier code assigned to Ed Deandrade Dds, Ltd. by the Centers for Medicare & Medicaid Services?
The Ed Deandrade Dds, Ltd. has been issued the NPI (National Provider Identifier) 1144331588 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Ed Deandrade Dds, Ltd.'s physical address?
The Ed Deandrade Dds, Ltd. is physically located at 2610 W Horizon Ridge Pkwy, in the city of Henderson, NV, with the postal code 890522869.
What is the Ed Deandrade Dds, Ltd.'s area of specialization and corresponding taxonomy classification?
The Ed Deandrade Dds, Ltd.'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 Ed Deandrade Dds, Ltd. receive its 1144331588 assignment from the Centers for Medicare & Medicaid Services?
The Ed Deandrade Dds, Ltd. was assigned its 1144331588 by the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date were the Ed Deandrade Dds, Ltd.'s details last updated?
The information pertaining to the Ed Deandrade Dds, Ltd., including its address, specialty, and other details, was most recently updated on 2020-08-22.