Main Street Children'S Dentistry And Orthodontics Of Wellington, Pa in Royal Palm Beach - Orthodontics And Dentofacial Orthopedics
Main Street Children'S Dentistry And Orthodontics Of Wellington, Pa - NPI 1760687149
Main Street Children'S Dentistry And Orthodontics Of Wellington, Pa is a Orthodontics And Dentofacial Orthopedics in Royal Palm Beach, Florida. Main Street Children'S Dentistry And Orthodontics Of Wellington, Pa practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Main Street Children'S Dentistry And Orthodontics Of Wellington, Pa is 1760687149. The last update date is 2014-08-20.
Main Street Children'S Dentistry And Orthodontics Of Wellington, Pa's current location address is 11903 Southern Blvd., Royal Palm Beach, Florida. You can contact this provider via phone number 5614222940 and fax number 5614222945. The mailing address for Main Street Children'S Dentistry And Orthodontics Of Wellington, Pa is 11903 Southern Blvd., Royal Palm Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Main Street Children'S Dentistry And Orthodontics Of Wellington, Pa |
|---|---|
| Address | 11903 Southern Blvd., Royal Palm Beach, Florida |
| Phone Number | 5614222940 |
| Fax Number | 5614222945 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROVIDER R |
|---|---|
| Authorized Official Name | Gomez Stephanie |
| Telephone Number | 3052742499 |
NPI Number Detail
| NPI Number | 1760687149 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2014-08-20 |
Provider Mailing Address Detail
| Address | 11903 Southern Blvd. |
|---|---|
| City | Royal Palm Beach |
| State | Florida (FL) |
| Post Code | 33411 |
| Phone Number | 5614222940 |
| Fax Number | 5614222945 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
|
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 Main Street Children'S Dentistry And Orthodontics Of Wellington, Pa's 1760687149?
The Main Street Children'S Dentistry And Orthodontics Of Wellington, Pa's NPI (National Provider Identifier) Number is 1760687149. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Main Street Children'S Dentistry And Orthodontics Of Wellington, Pa?
The Main Street Children'S Dentistry And Orthodontics Of Wellington, Pa is situated at 11903 Southern Blvd., in the city of Royal Palm Beach, state of FL, with the zip code 33411.
What is Main Street Children'S Dentistry And Orthodontics Of Wellington, Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Main Street Children'S Dentistry And Orthodontics Of Wellington, Pa is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760687149 to Main Street Children'S Dentistry And Orthodontics Of Wellington, Pa?
The Centers for Medicare & Medicaid Services originally issued the 1760687149 to Main Street Children'S Dentistry And Orthodontics Of Wellington, Pa on 2007-06-18.
As of what date were the details related to Main Street Children'S Dentistry And Orthodontics Of Wellington, Pa most recently updated or revised?
The information pertaining to Main Street Children'S Dentistry And Orthodontics Of Wellington, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2014-08-20.
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