Robert J Agnetta in Watertown - Orthodontics And Dentofacial Orthopedics

Robert J Agnetta - NPI 1437369154

Robert J Agnetta is a Orthodontics And Dentofacial Orthopedics in Watertown, New York. Robert J Agnetta practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Robert J Agnetta is 1437369154. The last update date is 2016-01-22.

Robert J Agnetta's current location address is 1205 Ives St, Watertown, New York. You can contact this provider via phone number 3152676588. The mailing address for Robert J Agnetta is 1205 Ives St, Watertown, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert J Agnetta
Address 1205 Ives St, Watertown, New York
Phone Number 3152676588
Fax Number
Sole Proprietor Y
Credentials DDS,MS

NPI Number Detail

NPI Number 1437369154
Provider Enumeration Date 2007-05-23
Last Updated Date 2016-01-22

Provider Mailing Address Detail

Address 1205 Ives St
City Watertown
State New York (NY)
Post Code 136014216
Phone Number 3152676588
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No DL-1766
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
820505759 ID --

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FAQs about Robert J Agnetta

What is the Robert J Agnetta's 1437369154?

The Robert J Agnetta's NPI (National Provider Identifier) Number is 1437369154. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Robert J Agnetta?

The Robert J Agnetta is situated at 1205 Ives St, in the city of Watertown, state of NY, with the zip code 136014216.

What is Robert J Agnetta's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Robert J Agnetta is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.

On what date did the Robert J Agnetta receive the assignment of its 1437369154 from the Centers for Medicare & Medicaid Services?

The Robert J Agnetta was issued its 1437369154 by the Centers for Medicare & Medicaid Services on 2007-05-23.

When was the information related to Robert J Agnetta most recently updated or refreshed?

The details pertaining to the Robert J Agnetta, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-01-22.

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