Central Texas Periodontics in Georgetown - Periodontics
Central Texas Periodontics - NPI 1932328333
Central Texas Periodontics is a Periodontics in Georgetown, Texas. Central Texas Periodontics practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Central Texas Periodontics is 1932328333. The last update date is 2008-09-08.
Central Texas Periodontics's current location address is 1811 N. Austin Ave., Georgetown, Texas. You can contact this provider via phone number 5128639500 and fax number 5128639562. The mailing address for Central Texas Periodontics is 1811 N. Austin Ave., Georgetown, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Texas Periodontics |
|---|---|
| Address | 1811 N. Austin Ave., Georgetown, Texas |
| Phone Number | 5128639500 |
| Fax Number | 5128639562 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Callia R Jonathan |
| Credentials | D.D.S., M. |
| Telephone Number | 5128639500 |
NPI Number Detail
| NPI Number | 1932328333 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2008-09-08 |
Provider Mailing Address Detail
| Address | 1811 N. Austin Ave. |
|---|---|
| City | Georgetown |
| State | Texas (TX) |
| Post Code | 78626 |
| Phone Number | 5128639500 |
| Fax Number | 5128639562 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 20343 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Central Texas Periodontics?
The Central Texas Periodontics has been issued the NPI (National Provider Identifier) 1932328333 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 Central Texas Periodontics's facilities are geographically located?
The facilities of Central Texas Periodontics are physically situated at the following location: 1811 N. Austin Ave., Georgetown, TX, 78626.
What is Central Texas Periodontics's specialized field of practice, and what is the corresponding taxonomy classification code?
The Central Texas Periodontics'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 assign the 1932328333 to Central Texas Periodontics?
The Centers for Medicare & Medicaid Services assigned the 1932328333 to Central Texas Periodontics on 2007-04-24.
As of what date were the Central Texas Periodontics's details last updated?
The information pertaining to the Central Texas Periodontics, including its address, specialty, and other details, was most recently updated on 2008-09-08.