Vande Matram Periodontology, Pa in Keller - Periodontics

Vande Matram Periodontology, Pa - NPI 1225213176

Vande Matram Periodontology, Pa is a Periodontics in Keller, Texas. Vande Matram Periodontology, Pa practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Vande Matram Periodontology, Pa is 1225213176. The last update date is 2008-01-09.

Vande Matram Periodontology, Pa's current location address is 1674 Keller Pkwy, Keller, Texas. You can contact this provider via phone number 8177414867 and fax number 8177413333. The mailing address for Vande Matram Periodontology, Pa is 1674 Keller Pkwy, Keller, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Vande Matram Periodontology, Pa
Address 1674 Keller Pkwy, Keller, Texas
Phone Number 8177414867
Fax Number 8177413333
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PERIODONTI
Authorized Official Name Kapoor Kumar Randhir
Credentials DDS, PHD.
Telephone Number 8177414867

NPI Number Detail

NPI Number 1225213176
Provider Enumeration Date 2008-01-09
Last Updated Date 2008-01-09

Provider Mailing Address Detail

Address 1674 Keller Pkwy
City Keller
State Texas (TX)
Post Code 762483751
Phone Number 8177414867
Fax Number 8177413333

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 19155
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 Vande Matram Periodontology, Pa

What is the unique identification code assigned to Vande Matram Periodontology, Pa by the Centers for Medicare & Medicaid Services?

The Vande Matram Periodontology, Pa has been issued the NPI (National Provider Identifier) 1225213176. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Vande Matram Periodontology, Pa is physically located?

The Vande Matram Periodontology, Pa is physically situated at the following address: 1674 Keller Pkwy, Keller, TX, 762483751.

What is the Vande Matram Periodontology, Pa's area of specialization and corresponding taxonomy classification?

The Vande Matram Periodontology, Pa'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 Vande Matram Periodontology, Pa receive its 1225213176 assignment from the Centers for Medicare & Medicaid Services?

The Vande Matram Periodontology, Pa was assigned its 1225213176 on 2008-01-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Vande Matram Periodontology, Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Vande Matram Periodontology, Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-09.

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