Clifton Theodore Forsberg in Erie - Orthodontics And Dentofacial Orthopedics
Clifton Theodore Forsberg - NPI 1245390509
Clifton Theodore Forsberg is a Orthodontics And Dentofacial Orthopedics in Erie, Pennsylvania. Clifton Theodore Forsberg practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Clifton Theodore Forsberg is 1245390509. The last update date is 2007-07-08.
Clifton Theodore Forsberg's current location address is 4626 Peach St, Erie, Pennsylvania. You can contact this provider via phone number 8148640684 and fax number 8148640685. The mailing address for Clifton Theodore Forsberg is 4626 Peach St, Erie, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clifton Theodore Forsberg |
|---|---|
| Address | 4626 Peach St, Erie, Pennsylvania |
| Phone Number | 8148640684 |
| Fax Number | 8148640685 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1245390509 |
|---|---|
| Provider Enumeration Date | 2006-12-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4626 Peach St |
|---|---|
| City | Erie |
| State | Pennsylvania (PA) |
| Post Code | 165092007 |
| Phone Number | 8148640684 |
| Fax Number | 8148640685 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | DS022897L |
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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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What is the unique 10-digit identification code issued to Clifton Theodore Forsberg by the Centers for Medicare & Medicaid Services?
The Clifton Theodore Forsberg has been assigned the NPI (National Provider Identifier) 1245390509 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 physical location address of Clifton Theodore Forsberg?
The Clifton Theodore Forsberg is physically situated at 4626 Peach St, in the city of Erie, state of PA, with the postal code 165092007.
What is Clifton Theodore Forsberg's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Clifton Theodore Forsberg is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1245390509 to Clifton Theodore Forsberg?
The Centers for Medicare & Medicaid Services originally issued the 1245390509 to Clifton Theodore Forsberg on 2006-12-09.
When was the Clifton Theodore Forsberg's information last updated?
The Clifton Theodore Forsberg's information was last updated on 2007-07-08.