Benjamin M Pridemore in Rome - Orthodontics And Dentofacial Orthopedics
Benjamin M Pridemore - NPI 1336153592
Benjamin M Pridemore is a Orthodontics And Dentofacial Orthopedics in Rome, Georgia. Benjamin M Pridemore practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Benjamin M Pridemore is 1336153592. The last update date is 2007-07-08.
Benjamin M Pridemore's current location address is 23 John Maddox Dr Nw, Rome, Georgia. You can contact this provider via phone number 7062340877 and fax number 7062325327. The mailing address for Benjamin M Pridemore is 23 John Maddox Dr Nw, Rome, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin M Pridemore |
|---|---|
| Address | 23 John Maddox Dr Nw, Rome, Georgia |
| Phone Number | 7062340877 |
| Fax Number | 7062325327 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1336153592 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 23 John Maddox Dr Nw |
|---|---|
| City | Rome |
| State | Georgia (GA) |
| Post Code | 301651413 |
| Phone Number | 7062340877 |
| Fax Number | 7062325327 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | DN007095 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DN007095 | GA | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Benjamin M Pridemore by the Centers for Medicare & Medicaid Services (CMS)?
The Benjamin M Pridemore has been assigned the NPI (National Provider Identifier) 1336153592. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Benjamin M Pridemore is physically located?
The Benjamin M Pridemore is situated at the following address: 23 John Maddox Dr Nw, Rome, GA 301651413.
What is Benjamin M Pridemore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Benjamin M Pridemore's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date did the Benjamin M Pridemore receive its 1336153592 assignment from the Centers for Medicare & Medicaid Services?
The Benjamin M Pridemore was assigned its 1336153592 by the Centers for Medicare & Medicaid Services on 2006-07-27.
As of what date were the Benjamin M Pridemore's details last updated?
The information pertaining to the Benjamin M Pridemore, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1518960137
Address: 161 Sherman Dr, St Johnsbury, VT