Warren C Baine in Muttontown - Periodontics

Warren C Baine - NPI 1790900165

Warren C Baine is a Periodontics in Muttontown, New York. Warren C Baine practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Warren C Baine is 1790900165. The last update date is 2007-07-08.

Warren C Baine's current location address is 302 Ivy Hill Court, Muttontown, New York. You can contact this provider via phone number 5164338386 and fax number 5164338386. The mailing address for Warren C Baine is 302 Ivy Hill Court, Muttontown, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Warren C Baine
Address 302 Ivy Hill Court, Muttontown, New York
Phone Number 5164338386
Fax Number 5164338386
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1790900165
Provider Enumeration Date 2007-04-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 302 Ivy Hill Court
City Muttontown
State New York (NY)
Post Code 11753
Phone Number 5164338386
Fax Number 5164338386

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 36981
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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FAQs about Warren C Baine

What is the unique identifier code issued to Warren C Baine by the Centers for Medicare & Medicaid Services?

The Warren C Baine has been assigned the NPI (National Provider Identifier) 1790900165. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Warren C Baine?

The Warren C Baine is physically situated at 302 Ivy Hill Court, in the city of Muttontown, state of NY, with the postal code 11753.

What is Warren C Baine's specialized field of practice, and what is the corresponding taxonomy classification code?

The Warren C Baine's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1790900165 to Warren C Baine?

The Centers for Medicare & Medicaid Services originally issued the 1790900165 to Warren C Baine on 2007-04-13.

When was the Warren C Baine's information last updated?

The Warren C Baine's information was last updated on 2007-07-08.

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