Hatala Orthodontics Pc in Johnson City - Orthodontics And Dentofacial Orthopedics

Hatala Orthodontics Pc - NPI 1295812782

Hatala Orthodontics Pc is a Orthodontics And Dentofacial Orthopedics in Johnson City, New York. Hatala Orthodontics Pc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Hatala Orthodontics Pc is 1295812782. The last update date is 2020-08-22.

Hatala Orthodontics Pc's current location address is 165 Riverside Drive, Johnson City, New York. You can contact this provider via phone number 6076449100 and fax number 6076449113. The mailing address for Hatala Orthodontics Pc is 165 Riverside Drive, Johnson City, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Hatala Orthodontics Pc
Address 165 Riverside Drive, Johnson City, New York
Phone Number 6076449100
Fax Number 6076449113
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRES
Authorized Official Name Hatala P Mark
Credentials DDS
Telephone Number 6076449100

NPI Number Detail

NPI Number 1295812782
Provider Enumeration Date 2006-11-01
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 165 Riverside Drive
City Johnson City
State New York (NY)
Post Code 13790
Phone Number 6076449100
Fax Number 6076449113

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 41662
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 Hatala Orthodontics Pc

What is the unique 10-digit identifier code issued to Hatala Orthodontics Pc by the Centers for Medicare & Medicaid Services?

The Hatala Orthodontics Pc has been assigned the NPI (National Provider Identifier) 1295812782 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Hatala Orthodontics Pc is physically located?

The Hatala Orthodontics Pc is physically situated at the following address: 165 Riverside Drive, Johnson City, NY, 13790.

What is Hatala Orthodontics Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Hatala Orthodontics Pc is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy classification code for this specialized field is 1223X0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1295812782 to Hatala Orthodontics Pc?

The Centers for Medicare & Medicaid Services assigned the 1295812782 to Hatala Orthodontics Pc on 2006-11-01.

As of what date were the Hatala Orthodontics Pc's details last updated?

The information pertaining to the Hatala Orthodontics Pc, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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