Pediatric Dental Specialists, Ppc in Gilbert - Pediatric Dentistry
Pediatric Dental Specialists, Ppc - NPI 1336146745
Pediatric Dental Specialists, Ppc is a Pediatric Dentistry in Gilbert, Arizona. Pediatric Dental Specialists, Ppc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dental Specialists, Ppc is 1336146745. The last update date is 2022-07-21.
Pediatric Dental Specialists, Ppc's current location address is 2550 E Guadalupe Rd, Gilbert, Arizona. You can contact this provider via phone number 4805580777 and fax number 4805580888. The mailing address for Pediatric Dental Specialists, Ppc is 2550 E Guadalupe Rd, Gilbert, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dental Specialists, Ppc |
|---|---|
| Address | 2550 E Guadalupe Rd, Gilbert, Arizona |
| Phone Number | 4805580777 |
| Fax Number | 4805580888 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | TREASURER |
|---|---|
| Authorized Official Name | Staker Lee Jonathan |
| Credentials | DDS |
| Telephone Number | 4805580777 |
NPI Number Detail
| NPI Number | 1336146745 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 2550 E Guadalupe Rd |
|---|---|
| City | Gilbert |
| State | Arizona (AZ) |
| Post Code | 852345114 |
| Phone Number | 4805580777 |
| Fax Number | 4805580888 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
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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What is the unique 10-digit identification code issued to Pediatric Dental Specialists, Ppc by the Centers for Medicare & Medicaid Services?
The Pediatric Dental Specialists, Ppc has been assigned the NPI (National Provider Identifier) 1336146745 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Pediatric Dental Specialists, Ppc's facilities are situated?
The facilities of Pediatric Dental Specialists, Ppc are physically located at the following address: 2550 E Guadalupe Rd, Gilbert, AZ, 852345114.
What is Pediatric Dental Specialists, Ppc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pediatric Dental Specialists, Ppc's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
When did Pediatric Dental Specialists, Ppc receive its 1336146745 assignment?
The Pediatric Dental Specialists, Ppc was assigned its 1336146745 on 2005-06-30, which is the date when this unique identifier was issued to the organization.
As of what date were the Pediatric Dental Specialists, Ppc's details last updated?
The information pertaining to the Pediatric Dental Specialists, Ppc, including its address, specialty, and other details, was most recently updated on 2022-07-21.