Kendall Sherron Woolridge in El Segundo - Orthodontics And Dentofacial Orthopedics
Kendall Sherron Woolridge - NPI 1104006196
Kendall Sherron Woolridge is a Orthodontics And Dentofacial Orthopedics in El Segundo, California. Kendall Sherron Woolridge practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Kendall Sherron Woolridge is 1104006196. The last update date is 2015-07-16.
Kendall Sherron Woolridge's current location address is 310 E Grand Ave Ste 106, El Segundo, California. You can contact this provider via phone number 3106488781 and fax number 6616488776. The mailing address for Kendall Sherron Woolridge is 310 E Grand Ave Ste 106, El Segundo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kendall Sherron Woolridge |
|---|---|
| Address | 310 E Grand Ave Ste 106, El Segundo, California |
| Phone Number | 3106488781 |
| Fax Number | 6616488776 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1104006196 |
|---|---|
| Provider Enumeration Date | 2007-11-07 |
| Last Updated Date | 2015-07-16 |
Provider Mailing Address Detail
| Address | 310 E Grand Ave Ste 106 |
|---|---|
| City | El Segundo |
| State | California (CA) |
| Post Code | 902453871 |
| Phone Number | 3106488781 |
| Fax Number | 6616488776 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 53717 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the Kendall Sherron Woolridge's unique identification number?
The Kendall Sherron Woolridge has been assigned the NPI (National Provider Identifier) Number 1104006196 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Kendall Sherron Woolridge's facilities are situated?
The facilities of Kendall Sherron Woolridge are physically located at the following address: 310 E Grand Ave Ste 106, El Segundo, CA, 902453871.
What is Kendall Sherron Woolridge's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kendall Sherron Woolridge is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.
On what date did the Kendall Sherron Woolridge receive its 1104006196 assignment from the Centers for Medicare & Medicaid Services?
The Kendall Sherron Woolridge was assigned its 1104006196 by the Centers for Medicare & Medicaid Services on 2007-11-07.
When was the Kendall Sherron Woolridge's information last updated?
The Kendall Sherron Woolridge's information was last updated on 2015-07-16.
NPI Number: 1023014131
Address: 3901 Houma Blvd, Metairie, LA