Mary L Sedivy in Eagan - Orthodontics And Dentofacial Orthopedics

Mary L Sedivy - NPI 1972722908

Mary L Sedivy is a Orthodontics And Dentofacial Orthopedics in Eagan, Minnesota. Mary L Sedivy practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Mary L Sedivy is 1972722908. The last update date is 2007-07-08.

Mary L Sedivy's current location address is 1480 Yankee Doodle Rd, Eagan, Minnesota. You can contact this provider via phone number 6514523333. The mailing address for Mary L Sedivy is 1480 Yankee Doodle Rd, Eagan, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary L Sedivy
Address 1480 Yankee Doodle Rd, Eagan, Minnesota
Phone Number 6514523333
Fax Number
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1972722908
Provider Enumeration Date 2007-04-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1480 Yankee Doodle Rd
City Eagan
State Minnesota (MN)
Post Code 551211801
Phone Number 6514523333
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 11180
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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FAQs about Mary L Sedivy

What is the unique provider identifier assigned to Mary L Sedivy?

The Mary L Sedivy has been issued the NPI (National Provider Identifier) 1972722908 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Mary L Sedivy is physically located?

The Mary L Sedivy is situated at the following address: 1480 Yankee Doodle Rd, Eagan, MN 551211801.

What is Mary L Sedivy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mary L Sedivy 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 issue the 1972722908 to Mary L Sedivy?

The Mary L Sedivy received its 1972722908 assignment from the Centers for Medicare & Medicaid Services on 2007-04-25.

As of what date were the details related to Mary L Sedivy most recently updated or revised?

The information pertaining to Mary L Sedivy, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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