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 |
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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 | -- |
Post Comment/ Review Below
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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