Mary Cay Koen in Goodslettsville - Orthodontics And Dentofacial Orthopedics
Mary Cay Koen - NPI 1821113564
Mary Cay Koen is a Orthodontics And Dentofacial Orthopedics in Goodslettsville, Tennessee. Mary Cay Koen practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Mary Cay Koen is 1821113564. The last update date is 2007-07-08.
Mary Cay Koen's current location address is 2020 Caldwell Drive, Goodslettsville, Tennessee. You can contact this provider via phone number 6158511222 and fax number 6158519837. The mailing address for Mary Cay Koen is 2020 Caldwell Drive, Goodslettsville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Cay Koen |
|---|---|
| Address | 2020 Caldwell Drive, Goodslettsville, Tennessee |
| Phone Number | 6158511222 |
| Fax Number | 6158519837 |
| Sole Proprietor | N |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1821113564 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2020 Caldwell Drive |
|---|---|
| City | Goodslettsville |
| State | Tennessee (TN) |
| Post Code | 370723579 |
| Phone Number | 6158511222 |
| Fax Number | 6158519837 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | TN3779 |
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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 Mary Cay Koen by the Centers for Medicare & Medicaid Services?
The Mary Cay Koen has been assigned the NPI (National Provider Identifier) 1821113564 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Mary Cay Koen is physically located?
The Mary Cay Koen is situated at the following address: 2020 Caldwell Drive, Goodslettsville, TN 370723579.
What is the area of specialization for Mary Cay Koen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Cay Koen is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1821113564 to Mary Cay Koen?
The Centers for Medicare & Medicaid Services originally issued the 1821113564 to Mary Cay Koen on 2007-03-20.
As of what date were the details related to Mary Cay Koen most recently updated or revised?
The information pertaining to Mary Cay Koen, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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