Anderson Periodontic Associates in Anderson - Periodontics
Anderson Periodontic Associates - NPI 1588842116
Anderson Periodontic Associates is a Periodontics in Anderson, South Carolina. Anderson Periodontic Associates practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Anderson Periodontic Associates is 1588842116. The last update date is 2019-10-21.
Anderson Periodontic Associates's current location address is 514 Reed Rd, Anderson, South Carolina. You can contact this provider via phone number 8642253141 and fax number 8642253142. The mailing address for Anderson Periodontic Associates is 514 Reed Rd, Anderson, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Anderson Periodontic Associates |
|---|---|
| Address | 514 Reed Rd, Anderson, South Carolina |
| Phone Number | 8642253141 |
| Fax Number | 8642253142 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Baker R Mark |
| Credentials | DMD |
| Telephone Number | 8642253141 |
NPI Number Detail
| NPI Number | 1588842116 |
|---|---|
| Provider Enumeration Date | 2008-02-06 |
| Last Updated Date | 2019-10-21 |
Provider Mailing Address Detail
| Address | 514 Reed Rd |
|---|---|
| City | Anderson |
| State | South Carolina (SC) |
| Post Code | 296212058 |
| Phone Number | 8642253141 |
| Fax Number | 8642253142 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 1496-117 |
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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 issued to Anderson Periodontic Associates by the Centers for Medicare & Medicaid Services?
The Anderson Periodontic Associates has been assigned the NPI (National Provider Identifier) 1588842116 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Anderson Periodontic Associates's facilities are geographically located?
The facilities of Anderson Periodontic Associates are physically situated at the following location: 514 Reed Rd, Anderson, SC, 296212058.
What is Anderson Periodontic Associates's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Anderson Periodontic Associates is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.
On what date did Anderson Periodontic Associates receive its 1588842116 assignment from the Centers for Medicare & Medicaid Services?
The Anderson Periodontic Associates was assigned its 1588842116 on 2008-02-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Anderson Periodontic Associates most recently updated or refreshed?
The details pertaining to the Anderson Periodontic Associates, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-10-21.
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