Thea Diane Shive in Manhasset - Orthodontics And Dentofacial Orthopedics

Thea Diane Shive - NPI 1093797615

Thea Diane Shive is a Orthodontics And Dentofacial Orthopedics in Manhasset, New York. Thea Diane Shive practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Thea Diane Shive is 1093797615. The last update date is 2007-07-08.

Thea Diane Shive's current location address is 565 Plandome Rd, Manhasset, New York. You can contact this provider via phone number 5163304430 and fax number 5166248317. The mailing address for Thea Diane Shive is 565 Plandome Rd, Manhasset, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Thea Diane Shive
Address 565 Plandome Rd, Manhasset, New York
Phone Number 5163304430
Fax Number 5166248317
Sole Proprietor X
Credentials D.D.S.

NPI Number Detail

NPI Number 1093797615
Provider Enumeration Date 2005-11-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 565 Plandome Rd
City Manhasset
State New York (NY)
Post Code 110301945
Phone Number 5163304430
Fax Number 5166248317

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 38527
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 Thea Diane Shive

What is the Thea Diane Shive's 1093797615?

The Thea Diane Shive's NPI (National Provider Identifier) Number is 1093797615. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Thea Diane Shive is located?

The Thea Diane Shive is situated at the following address: 565 Plandome Rd, Manhasset, NY, 110301945.

What is the Thea Diane Shive's area of specialization and corresponding taxonomy classification?

The Thea Diane Shive's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.

When did Thea Diane Shive receive its 1093797615 assignment?

The Thea Diane Shive was assigned its 1093797615 on 2005-11-18, which is the date when this unique identifier was issued to the organization.

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

The information related to Thea Diane Shive, 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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