Gregg R Fader in Ardsley - Orthodontics And Dentofacial Orthopedics

Gregg R Fader - NPI 1194814434

Gregg R Fader is a Orthodontics And Dentofacial Orthopedics in Ardsley, New York. Gregg R Fader practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Gregg R Fader is 1194814434. The last update date is 2007-07-08.

Gregg R Fader's current location address is One Jordan Lane, Ardsley, New York. You can contact this provider via phone number 9146934442. The mailing address for Gregg R Fader is One Jordan Lane, Ardsley, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregg R Fader
Address One Jordan Lane, Ardsley, New York
Phone Number 9146934442
Fax Number
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1194814434
Provider Enumeration Date 2006-10-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address One Jordan Lane
City Ardsley
State New York (NY)
Post Code 10502
Phone Number 9146934442
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 40972
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 Gregg R Fader

What is the unique 10-digit identifier code assigned to Gregg R Fader by the Centers for Medicare & Medicaid Services?

The Gregg R Fader has been issued the NPI (National Provider Identifier) 1194814434 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Gregg R Fader's physical address?

The Gregg R Fader is physically located at One Jordan Lane, in the city of Ardsley, NY, with the postal code 10502.

What is Gregg R Fader's specialized field of practice, and what is the corresponding taxonomy classification code?

The Gregg R Fader'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 was the 1194814434 assigned to Gregg R Fader?

The Gregg R Fader was issued its 1194814434 on 2006-10-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Gregg R Fader, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gregg R Fader, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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