Alan L Longfellow in Tempe - Pediatric Dentistry
Alan L Longfellow - NPI 1770652703
Alan L Longfellow is a Pediatric Dentistry in Tempe, Arizona. Alan L Longfellow practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Alan L Longfellow is 1770652703. The last update date is 2007-07-08.
Alan L Longfellow's current location address is 7360 S Mcclintock Dr, Tempe, Arizona. You can contact this provider via phone number 4808386949 and fax number 4808380092. The mailing address for Alan L Longfellow is 7360 S Mcclintock Dr, Tempe, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alan L Longfellow |
|---|---|
| Address | 7360 S Mcclintock Dr, Tempe, Arizona |
| Phone Number | 4808386949 |
| Fax Number | 4808380092 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1770652703 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7360 S Mcclintock Dr |
|---|---|
| City | Tempe |
| State | Arizona (AZ) |
| Post Code | 852835001 |
| Phone Number | 4808386949 |
| Fax Number | 4808380092 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 1559 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 81274 | AZ | AHCCCS ID | |
| 81274 | AZ | PHOENIX HEALTH PLAN ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Alan L Longfellow by the Centers for Medicare & Medicaid Services?
The Alan L Longfellow has been assigned the NPI (National Provider Identifier) 1770652703 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Alan L Longfellow is located?
The Alan L Longfellow is situated at the following address: 7360 S Mcclintock Dr, Tempe, AZ, 852835001.
What is the Alan L Longfellow's area of specialization and corresponding taxonomy classification?
The Alan L Longfellow's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
When did Alan L Longfellow receive its 1770652703 assignment?
The Alan L Longfellow was assigned its 1770652703 on 2006-11-06, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Alan L Longfellow most recently updated or revised?
The details related to Alan L Longfellow, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.