Hattiesburg Orthodontics Pllc in Hattiesburg - Orthodontics And Dentofacial Orthopedics
Hattiesburg Orthodontics Pllc - NPI 1083832422
Hattiesburg Orthodontics Pllc is a Orthodontics And Dentofacial Orthopedics in Hattiesburg, Mississippi. Hattiesburg Orthodontics Pllc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Hattiesburg Orthodontics Pllc is 1083832422. The last update date is 2020-08-22.
Hattiesburg Orthodontics Pllc's current location address is 704 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6014502141. The mailing address for Hattiesburg Orthodontics Pllc is 704 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Hattiesburg Orthodontics Pllc |
|---|---|
| Address | 704 S 28th Ave, Hattiesburg, Mississippi |
| Phone Number | 6014502141 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Stanley Faler Tracy |
| Credentials | D.M.D. M.S |
| Telephone Number | 6014502141 |
NPI Number Detail
| NPI Number | 1083832422 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 704 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394022524 |
| Phone Number | 6014502141 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 3110-99 |
|
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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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Hattiesburg Orthodontics Pllc by the Centers for Medicare & Medicaid Services?
The Hattiesburg Orthodontics Pllc has been assigned the NPI (National Provider Identifier) 1083832422 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Hattiesburg Orthodontics Pllc is physically located?
The Hattiesburg Orthodontics Pllc is situated at the following address: 704 S 28Th Ave, Hattiesburg, MS 394022524.
What is the area of specialization for Hattiesburg Orthodontics Pllc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Hattiesburg Orthodontics Pllc is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1083832422 to Hattiesburg Orthodontics Pllc?
The Centers for Medicare & Medicaid Services assigned the 1083832422 to Hattiesburg Orthodontics Pllc on 2007-04-23.
When was the information regarding Hattiesburg Orthodontics Pllc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Hattiesburg Orthodontics Pllc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY