Mario J. Canal Dmd, Pc in Moorestown - Periodontics
Mario J. Canal Dmd, Pc - NPI 1174638845
Mario J. Canal Dmd, Pc is a Periodontics in Moorestown, New Jersey. Mario J. Canal Dmd, Pc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Mario J. Canal Dmd, Pc is 1174638845. The last update date is 2007-11-23.
Mario J. Canal Dmd, Pc's current location address is 285 S Church St, Moorestown, New Jersey. You can contact this provider via phone number 8564391200 and fax number 8564391106. The mailing address for Mario J. Canal Dmd, Pc is 285 S Church St, Moorestown, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mario J. Canal Dmd, Pc |
|---|---|
| Address | 285 S Church St, Moorestown, New Jersey |
| Phone Number | 8564391200 |
| Fax Number | 8564391106 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Canal Mario |
| Credentials | DMD |
| Telephone Number | 8564391200 |
NPI Number Detail
| NPI Number | 1174638845 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2007-11-23 |
Provider Mailing Address Detail
| Address | 285 S Church St |
|---|---|
| City | Moorestown |
| State | New Jersey (NJ) |
| Post Code | 80572773 |
| Phone Number | 8564391200 |
| Fax Number | 8564391106 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 22DI01653900 |
|
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 provider identifier assigned to Mario J. Canal Dmd, Pc?
The Mario J. Canal Dmd, Pc has been issued the NPI (National Provider Identifier) 1174638845 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mario J. Canal Dmd, Pc's facilities are geographically located?
The facilities of Mario J. Canal Dmd, Pc are physically situated at the following location: 285 S Church St, Moorestown, NJ, 80572773.
What is Mario J. Canal Dmd, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mario J. Canal Dmd, Pc is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
On what date did the Mario J. Canal Dmd, Pc receive its 1174638845 assignment from the Centers for Medicare & Medicaid Services?
The Mario J. Canal Dmd, Pc was assigned its 1174638845 by the Centers for Medicare & Medicaid Services on 2006-08-20.
As of what date was the information regarding Mario J. Canal Dmd, Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mario J. Canal Dmd, Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-23.
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