Brent Marc Masterson in Huntsville - Pediatric Dentistry
Brent Marc Masterson - NPI 1710053376
Brent Marc Masterson is a Pediatric Dentistry in Huntsville, Alabama. Brent Marc Masterson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Brent Marc Masterson is 1710053376. The last update date is 2007-07-08.
Brent Marc Masterson's current location address is 4001 Balmoral Dr Sw, Huntsville, Alabama. You can contact this provider via phone number 2565397447 and fax number 2565341233. The mailing address for Brent Marc Masterson is 4001 Balmoral Dr Sw, Huntsville, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Marc Masterson |
|---|---|
| Address | 4001 Balmoral Dr Sw, Huntsville, Alabama |
| Phone Number | 2565397447 |
| Fax Number | 2565341233 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1710053376 |
|---|---|
| Provider Enumeration Date | 2006-11-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4001 Balmoral Dr Sw |
|---|---|
| City | Huntsville |
| State | Alabama (AL) |
| Post Code | 358016403 |
| Phone Number | 2565397447 |
| Fax Number | 2565341233 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 5392-C |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Post Comment/ Review Below
What is the unique identification code assigned to Brent Marc Masterson by the Centers for Medicare & Medicaid Services?
The Brent Marc Masterson has been issued the NPI (National Provider Identifier) 1710053376. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Brent Marc Masterson is physically located?
The Brent Marc Masterson is situated at the following address: 4001 Balmoral Dr Sw, Huntsville, AL 358016403.
What is Brent Marc Masterson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brent Marc Masterson is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date did Brent Marc Masterson receive its 1710053376 assignment from the Centers for Medicare & Medicaid Services?
The Brent Marc Masterson was assigned its 1710053376 on 2006-11-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Brent Marc Masterson last refreshed?
The information related to the Brent Marc Masterson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.