Cedar Park Periodontics, Pc in Cedar Park - Periodontics
Cedar Park Periodontics, Pc - NPI 1295939759
Cedar Park Periodontics, Pc is a Periodontics in Cedar Park, Texas. Cedar Park Periodontics, Pc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Cedar Park Periodontics, Pc is 1295939759. The last update date is 2020-08-22.
Cedar Park Periodontics, Pc's current location address is 209 Denali Pass, Cedar Park, Texas. You can contact this provider via phone number 5125281400 and fax number 5125281466. The mailing address for Cedar Park Periodontics, Pc is 209 Denali Pass, Cedar Park, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cedar Park Periodontics, Pc |
|---|---|
| Address | 209 Denali Pass, Cedar Park, Texas |
| Phone Number | 5125281400 |
| Fax Number | 5125281466 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Reeves Roy David |
| Credentials | DMD, MS |
| Telephone Number | 5125281400 |
NPI Number Detail
| NPI Number | 1295939759 |
|---|---|
| Provider Enumeration Date | 2007-06-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 209 Denali Pass |
|---|---|
| City | Cedar Park |
| State | Texas (TX) |
| Post Code | 78613 |
| Phone Number | 5125281400 |
| Fax Number | 5125281466 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 21653 |
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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 Cedar Park Periodontics, Pc by the Centers for Medicare & Medicaid Services?
The Cedar Park Periodontics, Pc has been assigned the NPI (National Provider Identifier) 1295939759 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Cedar Park Periodontics, Pc?
The Cedar Park Periodontics, Pc is situated at 209 Denali Pass, in the city of Cedar Park, state of TX, with the zip code 78613.
What is Cedar Park Periodontics, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Cedar Park Periodontics, Pc is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
When was the Cedar Park Periodontics, Pc's 1295939759 issued?
The Cedar Park Periodontics, Pc's 1295939759 was issued on 2007-06-11.
When was the information pertaining to Cedar Park Periodontics, Pc most recently updated or revised?
The details related to Cedar Park Periodontics, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.