Edgar P Poremba Dds Msd Pc in Colorado Spgs - Orthodontics And Dentofacial Orthopedics
Edgar P Poremba Dds Msd Pc - NPI 1982758173
Edgar P Poremba Dds Msd Pc is a Orthodontics And Dentofacial Orthopedics in Colorado Spgs, Colorado. Edgar P Poremba Dds Msd Pc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Edgar P Poremba Dds Msd Pc is 1982758173. The last update date is 2020-08-22.
Edgar P Poremba Dds Msd Pc's current location address is 2997 Broadmoor Valley Rd, Colorado Spgs, Colorado. You can contact this provider via phone number 7195760149 and fax number 7195795373. The mailing address for Edgar P Poremba Dds Msd Pc is 2997 Broadmoor Valley Rd, Colorado Spgs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edgar P Poremba Dds Msd Pc |
|---|---|
| Address | 2997 Broadmoor Valley Rd, Colorado Spgs, Colorado |
| Phone Number | 7195760149 |
| Fax Number | 7195795373 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ORTHODONTI |
|---|---|
| Authorized Official Name | Poremba P Edgar |
| Credentials | DDS MSD |
| Telephone Number | 7195760149 |
NPI Number Detail
| NPI Number | 1982758173 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2997 Broadmoor Valley Rd |
|---|---|
| City | Colorado Spgs |
| State | Colorado (CO) |
| Post Code | 809064405 |
| Phone Number | 7195760149 |
| Fax Number | 7195795373 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 105719 |
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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 unique identification code assigned to Edgar P Poremba Dds Msd Pc by the Centers for Medicare & Medicaid Services?
The Edgar P Poremba Dds Msd Pc has been issued the NPI (National Provider Identifier) 1982758173. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Edgar P Poremba Dds Msd Pc located?
The Edgar P Poremba Dds Msd Pc is located at 2997 Broadmoor Valley Rd, Colorado Spgs, CO 809064405.
What is the Edgar P Poremba Dds Msd Pc's area of specialization and corresponding taxonomy classification?
The Edgar P Poremba Dds Msd Pc's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1982758173 to Edgar P Poremba Dds Msd Pc?
The Edgar P Poremba Dds Msd Pc received its 1982758173 assignment from the Centers for Medicare & Medicaid Services on 2007-01-23.
When was the information regarding Edgar P Poremba Dds Msd Pc most recently updated?
The details pertaining to the Edgar P Poremba Dds Msd Pc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.