Jonathan L Staker in Gilbert - Pediatric Dentistry

Jonathan L Staker - NPI 1760573315

Jonathan L Staker is a Pediatric Dentistry in Gilbert, Arizona. Jonathan L Staker practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Jonathan L Staker is 1760573315. The last update date is 2007-07-08.

Jonathan L Staker's current location address is 2550 E Guadalupe Rd, Gilbert, Arizona. You can contact this provider via phone number 4805580777. The mailing address for Jonathan L Staker is 2550 E Guadalupe Rd, Gilbert, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan L Staker
Address 2550 E Guadalupe Rd, Gilbert, Arizona
Phone Number 4805580777
Fax Number
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1760573315
Provider Enumeration Date 2006-09-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2550 E Guadalupe Rd
City Gilbert
State Arizona (AZ)
Post Code 852345114
Phone Number 4805580777
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 4659
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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FAQs about Jonathan L Staker

What is the unique identification code assigned to Jonathan L Staker by the Centers for Medicare & Medicaid Services?

The Jonathan L Staker has been issued the NPI (National Provider Identifier) 1760573315. 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 physical address where Jonathan L Staker is located?

The Jonathan L Staker is situated at the following address: 2550 E Guadalupe Rd, Gilbert, AZ, 852345114.

What is the area of specialization for Jonathan L Staker, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jonathan L Staker is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.

On what date was the 1760573315 assigned to Jonathan L Staker?

The Jonathan L Staker was issued its 1760573315 on 2006-09-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Jonathan L Staker, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jonathan L Staker, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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