Samuel John Deangelo in Cary - Periodontics
Samuel John Deangelo - NPI 1740488501
Samuel John Deangelo is a Periodontics in Cary, North Carolina. Samuel John Deangelo practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Samuel John Deangelo is 1740488501. The last update date is 2021-10-26.
Samuel John Deangelo's current location address is 1142 Executive Circle, Cary, North Carolina. You can contact this provider via phone number 9194673213 and fax number 9194673246. The mailing address for Samuel John Deangelo is 1142 Executive Circle, Cary, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel John Deangelo |
|---|---|
| Address | 1142 Executive Circle, Cary, North Carolina |
| Phone Number | 9194673213 |
| Fax Number | 9194673246 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1740488501 |
|---|---|
| Provider Enumeration Date | 2007-07-03 |
| Last Updated Date | 2021-10-26 |
Provider Mailing Address Detail
| Address | 1142 Executive Circle |
|---|---|
| City | Cary |
| State | North Carolina (NC) |
| Post Code | 27518 |
| Phone Number | 9194673213 |
| Fax Number | 9194673246 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 7596 |
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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 identifier code issued to Samuel John Deangelo by the Centers for Medicare & Medicaid Services?
The Samuel John Deangelo has been assigned the NPI (National Provider Identifier) 1740488501. 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 Samuel John Deangelo is physically located?
The Samuel John Deangelo is situated at the following address: 1142 Executive Circle, Cary, NC 27518.
What is the Samuel John Deangelo's area of specialization and corresponding taxonomy classification?
The Samuel John Deangelo'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 Samuel John Deangelo receive its 1740488501 assignment from the Centers for Medicare & Medicaid Services?
The Samuel John Deangelo was assigned its 1740488501 on 2007-07-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Samuel John Deangelo's information last updated?
The Samuel John Deangelo's information was last updated on 2021-10-26.