Ralph J Dedomenico in Tampa - Orthodontics And Dentofacial Orthopedics
Ralph J Dedomenico - NPI 1770613663
Ralph J Dedomenico is a Orthodontics And Dentofacial Orthopedics in Tampa, Florida. Ralph J Dedomenico practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Ralph J Dedomenico is 1770613663. The last update date is 2007-07-08.
Ralph J Dedomenico's current location address is 11012 N Dale Mabry Hwy, Tampa, Florida. You can contact this provider via phone number 8139611313 and fax number 8139616595. The mailing address for Ralph J Dedomenico is 11012 N Dale Mabry Hwy, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ralph J Dedomenico |
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Address | 11012 N Dale Mabry Hwy, Tampa, Florida |
Phone Number | 8139611313 |
Fax Number | 8139616595 |
Sole Proprietor | N |
Credentials | DMD |
NPI Number Detail
NPI Number | 1770613663 |
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Provider Enumeration Date | 2007-03-07 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 11012 N Dale Mabry Hwy |
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City | Tampa |
State | Florida (FL) |
Post Code | 33618 |
Phone Number | 8139611313 |
Fax Number | 8139616595 |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | 4377 |
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 |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ralph J Dedomenico by the Centers for Medicare & Medicaid Services?
The Ralph J Dedomenico has been issued the NPI (National Provider Identifier) 1770613663 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Ralph J Dedomenico's facilities are geographically located?
The facilities of Ralph J Dedomenico are physically situated at the following location: 11012 N Dale Mabry Hwy, Tampa, FL, 33618.
What is Ralph J Dedomenico'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 Ralph J Dedomenico is Orthodontics And Dentofacial Orthopedics, and the taxonomy classification code that categorizes this area of expertise is 1223X0400X.
On what date did the Ralph J Dedomenico receive the assignment of its 1770613663 from the Centers for Medicare & Medicaid Services?
The Ralph J Dedomenico was issued its 1770613663 by the Centers for Medicare & Medicaid Services on 2007-03-07.
As of what date were the details related to Ralph J Dedomenico most recently updated or revised?
The information pertaining to Ralph J Dedomenico, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1467434399
Address: 6502 Nursery Dr. Suite 100, Victoria, TX