Mattingly Orthodontics Psc in Louisville - Orthodontics And Dentofacial Orthopedics
Mattingly Orthodontics Psc - NPI 1316921703
Mattingly Orthodontics Psc is a Orthodontics And Dentofacial Orthopedics in Louisville, Kentucky. Mattingly Orthodontics Psc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Mattingly Orthodontics Psc is 1316921703. The last update date is 2008-03-06.
Mattingly Orthodontics Psc's current location address is 1013 Dupont Sq N, Louisville, Kentucky. You can contact this provider via phone number 5028953473 and fax number 5028973795. The mailing address for Mattingly Orthodontics Psc is 1013 Dupont Sq N, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mattingly Orthodontics Psc |
|---|---|
| Address | 1013 Dupont Sq N, Louisville, Kentucky |
| Phone Number | 5028953473 |
| Fax Number | 5028973795 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Mattingly L Chris |
| Credentials | DMD |
| Telephone Number | 5028953473 |
NPI Number Detail
| NPI Number | 1316921703 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2008-03-06 |
Provider Mailing Address Detail
| Address | 1013 Dupont Sq N |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402074612 |
| Phone Number | 5028953473 |
| Fax Number | 5028973795 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 7289 |
|
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 |
|---|---|---|---|
| 60063435 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mattingly Orthodontics Psc by the Centers for Medicare & Medicaid Services?
The Mattingly Orthodontics Psc has been issued the NPI (National Provider Identifier) 1316921703, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mattingly Orthodontics Psc?
The Mattingly Orthodontics Psc is physically situated at 1013 Dupont Sq N, in the city of Louisville, state of KY, with the postal code 402074612.
What is the Mattingly Orthodontics Psc's area of specialization and corresponding taxonomy classification?
The Mattingly Orthodontics Psc'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 Mattingly Orthodontics Psc receive the assignment of its 1316921703 from the Centers for Medicare & Medicaid Services?
The Mattingly Orthodontics Psc was issued its 1316921703 by the Centers for Medicare & Medicaid Services on 2005-11-30.
As of what date were the Mattingly Orthodontics Psc's details last updated?
The information pertaining to the Mattingly Orthodontics Psc, including its address, specialty, and other details, was most recently updated on 2008-03-06.