Cumberland Gap Orthodontics in Harrogate - Orthodontics And Dentofacial Orthopedics

Cumberland Gap Orthodontics - NPI 1669459251

Cumberland Gap Orthodontics is a Orthodontics And Dentofacial Orthopedics in Harrogate, Tennessee. Cumberland Gap Orthodontics practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Cumberland Gap Orthodontics is 1669459251. The last update date is 2008-03-17.

Cumberland Gap Orthodontics's current location address is Po Box 15, Harrogate, Tennessee. You can contact this provider via phone number 4238695719 and fax number 4238695749. The mailing address for Cumberland Gap Orthodontics is Po Box 15, Harrogate, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cumberland Gap Orthodontics
Address Po Box 15, Harrogate, Tennessee
Phone Number 4238695719
Fax Number 4238695749
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO AND PR
Authorized Official Name Douglass Burton Jesse
Credentials DMD MSD
Telephone Number 4238695719

NPI Number Detail

NPI Number 1669459251
Provider Enumeration Date 2005-12-27
Last Updated Date 2008-03-17

Provider Mailing Address Detail

Address Po Box 15
City Harrogate
State Tennessee (TN)
Post Code 377520015
Phone Number 4238695719
Fax Number 4238695749

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
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
60042058 KY --
13672 TN --

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FAQs about Cumberland Gap Orthodontics

What is the Cumberland Gap Orthodontics's 1669459251?

The Cumberland Gap Orthodontics's NPI (National Provider Identifier) Number is 1669459251. 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 Cumberland Gap Orthodontics?

The Cumberland Gap Orthodontics is situated at Po Box 15, in the city of Harrogate, state of TN, with the zip code 377520015.

What is Cumberland Gap Orthodontics's area of expertise and its corresponding taxonomy classification?

The Cumberland Gap Orthodontics's field of specialization is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1669459251 to Cumberland Gap Orthodontics?

The Centers for Medicare & Medicaid Services assigned the 1669459251 to Cumberland Gap Orthodontics on 2005-12-27.

When was the information related to Cumberland Gap Orthodontics most recently updated or refreshed?

The details pertaining to the Cumberland Gap Orthodontics, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-17.

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