Shelton Park Mims in Huntsville - Endodontics
Shelton Park Mims - NPI 1124237805
Shelton Park Mims is a Endodontics in Huntsville, Alabama. Shelton Park Mims practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Shelton Park Mims is 1124237805. The last update date is 2012-05-21.
Shelton Park Mims's current location address is 4101 Balmoral Dr Sw, Huntsville, Alabama. You can contact this provider via phone number 2568806556 and fax number 2568802945. The mailing address for Shelton Park Mims is 4101 Balmoral Dr Sw, Huntsville, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelton Park Mims |
|---|---|
| Address | 4101 Balmoral Dr Sw, Huntsville, Alabama |
| Phone Number | 2568806556 |
| Fax Number | 2568802945 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1124237805 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2012-05-21 |
Provider Mailing Address Detail
| Address | 4101 Balmoral Dr Sw |
|---|---|
| City | Huntsville |
| State | Alabama (AL) |
| Post Code | 358016409 |
| Phone Number | 2568806556 |
| Fax Number | 2568802945 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 3879 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identifier code assigned to Shelton Park Mims by the Centers for Medicare & Medicaid Services?
The Shelton Park Mims has been issued the NPI (National Provider Identifier) 1124237805 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Shelton Park Mims?
The Shelton Park Mims is physically situated at 4101 Balmoral Dr Sw, in the city of Huntsville, state of AL, with the postal code 358016409.
What is Shelton Park Mims's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shelton Park Mims is Endodontics, and the taxonomy code that categorizes this field of expertise is 1223E0200X.
On what date did the Shelton Park Mims receive its 1124237805 assignment from the Centers for Medicare & Medicaid Services?
The Shelton Park Mims was assigned its 1124237805 by the Centers for Medicare & Medicaid Services on 2007-05-21.
When was the information regarding Shelton Park Mims, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shelton Park Mims, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-05-21.