Leandra Moore S. Antonio-Jose in Jacksonville - Orthodontics And Dentofacial Orthopedics
Leandra Moore S. Antonio-Jose - NPI 1902862493
Leandra Moore S. Antonio-Jose is a Orthodontics And Dentofacial Orthopedics in Jacksonville, Florida. Leandra Moore S. Antonio-Jose practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Leandra Moore S. Antonio-Jose is 1902862493. The last update date is 2011-06-16.
Leandra Moore S. Antonio-Jose's current location address is 3457 Hendricks Ave, Jacksonville, Florida. You can contact this provider via phone number 9043986461 and fax number 9043983177. The mailing address for Leandra Moore S. Antonio-Jose is 3457 Hendricks Ave, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leandra Moore S. Antonio-Jose |
|---|---|
| Address | 3457 Hendricks Ave, Jacksonville, Florida |
| Phone Number | 9043986461 |
| Fax Number | 9043983177 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1902862493 |
|---|---|
| Provider Enumeration Date | 2006-04-24 |
| Last Updated Date | 2011-06-16 |
Provider Mailing Address Detail
| Address | 3457 Hendricks Ave |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322075307 |
| Phone Number | 9043986461 |
| Fax Number | 9043983177 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | DN 18719 |
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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 Leandra Moore S. Antonio-Jose's 1902862493?
The Leandra Moore S. Antonio-Jose's NPI (National Provider Identifier) Number is 1902862493. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Leandra Moore S. Antonio-Jose's physical address?
The Leandra Moore S. Antonio-Jose is physically located at 3457 Hendricks Ave, in the city of Jacksonville, FL, with the postal code 322075307.
What is Leandra Moore S. Antonio-Jose's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Leandra Moore S. Antonio-Jose's specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.
On what date did Leandra Moore S. Antonio-Jose receive its 1902862493 assignment from the Centers for Medicare & Medicaid Services?
The Leandra Moore S. Antonio-Jose was assigned its 1902862493 on 2006-04-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Leandra Moore S. Antonio-Jose's information last updated?
The Leandra Moore S. Antonio-Jose's information was last updated on 2011-06-16.