Modern Orthodontics, Pc in Bronx - Orthodontics And Dentofacial Orthopedics
Modern Orthodontics, Pc - NPI 1952366973
Modern Orthodontics, Pc is a Orthodontics And Dentofacial Orthopedics in Bronx, New York. Modern Orthodontics, Pc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Modern Orthodontics, Pc is 1952366973. The last update date is 2010-10-05.
Modern Orthodontics, Pc's current location address is 355 E 149th St, Bronx, New York. You can contact this provider via phone number 7189935454 and fax number 7189935455. The mailing address for Modern Orthodontics, Pc is 355 E 149th St, Bronx, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Modern Orthodontics, Pc |
|---|---|
| Address | 355 E 149th St, Bronx, New York |
| Phone Number | 7189935454 |
| Fax Number | 7189935455 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Cooperman Bruce Kenneth |
| Credentials | DMD |
| Telephone Number | 7189935454 |
NPI Number Detail
| NPI Number | 1952366973 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2010-10-05 |
Provider Mailing Address Detail
| Address | 355 E 149th St |
|---|---|
| City | Bronx |
| State | New York (NY) |
| Post Code | 104553909 |
| Phone Number | 7189935454 |
| Fax Number | 7189935455 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 469571 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200698105 | NY | -- |
Post Comment/ Review Below
What is the Modern Orthodontics, Pc's 1952366973?
The Modern Orthodontics, Pc's NPI (National Provider Identifier) Number is 1952366973. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Modern Orthodontics, Pc is geographically located?
The Modern Orthodontics, Pc is physically situated at the following location: 355 E 149Th St, Bronx, NY, 104553909.
What is the area of specialization for Modern Orthodontics, Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Modern Orthodontics, Pc is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.
On what date did Modern Orthodontics, Pc receive its 1952366973 assignment from the Centers for Medicare & Medicaid Services?
The Modern Orthodontics, Pc was assigned its 1952366973 on 2006-04-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Modern Orthodontics, Pc most recently updated or revised?
The details related to Modern Orthodontics, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2010-10-05.