George Shannon Mayweather in Elk Grove - Orthodontics And Dentofacial Orthopedics

George Shannon Mayweather - NPI 1134243470

George Shannon Mayweather is a Orthodontics And Dentofacial Orthopedics in Elk Grove, California. George Shannon Mayweather practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for George Shannon Mayweather is 1134243470. The last update date is 2014-03-26.

George Shannon Mayweather's current location address is 8013 Laguna Blvd # 1, Elk Grove, California. You can contact this provider via phone number 9166833015 and fax number 9166835150. The mailing address for George Shannon Mayweather is 8013 Laguna Blvd # 1, Elk Grove, California. To know further, please read the information below!

Provider Profile Detail

Provider Name George Shannon Mayweather
Address 8013 Laguna Blvd # 1, Elk Grove, California
Phone Number 9166833015
Fax Number 9166835150
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1134243470
Provider Enumeration Date 2007-03-19
Last Updated Date 2014-03-26

Provider Mailing Address Detail

Address 8013 Laguna Blvd # 1
City Elk Grove
State California (CA)
Post Code 957587920
Phone Number 9166833015
Fax Number 9166835150

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 40467
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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FAQs about George Shannon Mayweather

What is the unique identifier code issued to George Shannon Mayweather by the Centers for Medicare & Medicaid Services (CMS)?

The George Shannon Mayweather has been assigned the NPI (National Provider Identifier) 1134243470. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where George Shannon Mayweather's facilities are situated?

The facilities of George Shannon Mayweather are physically located at the following address: 8013 Laguna Blvd # 1, Elk Grove, CA, 957587920.

What is George Shannon Mayweather'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 George Shannon Mayweather is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.

On what date did the George Shannon Mayweather receive its 1134243470 assignment from the Centers for Medicare & Medicaid Services?

The George Shannon Mayweather was assigned its 1134243470 by the Centers for Medicare & Medicaid Services on 2007-03-19.

As of what date were the details related to George Shannon Mayweather most recently updated or revised?

The information pertaining to George Shannon Mayweather, including its address, specialty, and other relevant details, was last updated or revised on 2014-03-26.

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