Austin Phoenix in Gresham - Orthodontics And Dentofacial Orthopedics
Austin Phoenix - NPI 1538349774
Austin Phoenix is a Orthodontics And Dentofacial Orthopedics in Gresham, Oregon. Austin Phoenix practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Austin Phoenix is 1538349774. The last update date is 2007-11-05.
Austin Phoenix's current location address is 443 Nw Burnside Rd, Gresham, Oregon. You can contact this provider via phone number 5034928487. The mailing address for Austin Phoenix is 443 Nw Burnside Rd, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Austin Phoenix |
|---|---|
| Address | 443 Nw Burnside Rd, Gresham, Oregon |
| Phone Number | 5034928487 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.M.D., M. |
NPI Number Detail
| NPI Number | 1538349774 |
|---|---|
| Provider Enumeration Date | 2007-11-05 |
| Last Updated Date | 2007-11-05 |
Provider Mailing Address Detail
| Address | 443 Nw Burnside Rd |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970303714 |
| Phone Number | 5034928487 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | D9012 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Austin Phoenix by the Centers for Medicare & Medicaid Services?
The Austin Phoenix has been assigned the NPI (National Provider Identifier) 1538349774 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Austin Phoenix is physically located?
The Austin Phoenix is physically situated at the following address: 443 Nw Burnside Rd, Gresham, OR, 970303714.
What is Austin Phoenix's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Austin Phoenix's specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.
On what date did Austin Phoenix receive its 1538349774 assignment from the Centers for Medicare & Medicaid Services?
The Austin Phoenix was assigned its 1538349774 on 2007-11-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Austin Phoenix, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Austin Phoenix, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-05.