Kenneth Owen Crosby in Fresno - Pediatric Dentistry
Kenneth Owen Crosby - NPI 1245293869
Kenneth Owen Crosby is a Pediatric Dentistry in Fresno, California. Kenneth Owen Crosby practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kenneth Owen Crosby is 1245293869. The last update date is 2008-06-20.
Kenneth Owen Crosby's current location address is 6079 N Fresno St, Fresno, California. You can contact this provider via phone number 5592227001 and fax number 5592227087. The mailing address for Kenneth Owen Crosby is 6079 N Fresno St, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Owen Crosby |
|---|---|
| Address | 6079 N Fresno St, Fresno, California |
| Phone Number | 5592227001 |
| Fax Number | 5592227087 |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1245293869 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2008-06-20 |
Provider Mailing Address Detail
| Address | 6079 N Fresno St |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937105276 |
| Phone Number | 5592227001 |
| Fax Number | 5592227087 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 33447 |
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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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What is the unique identification code assigned to Kenneth Owen Crosby by the Centers for Medicare & Medicaid Services?
The Kenneth Owen Crosby has been issued the NPI (National Provider Identifier) 1245293869. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kenneth Owen Crosby's physical address?
The Kenneth Owen Crosby is physically located at 6079 N Fresno St, in the city of Fresno, CA, with the postal code 937105276.
What is the Kenneth Owen Crosby's specialty and taxonomy code?
The Kenneth Owen Crosby's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date was the 1245293869 assigned to Kenneth Owen Crosby?
The Kenneth Owen Crosby was issued its 1245293869 on 2006-04-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Kenneth Owen Crosby last refreshed?
The information related to the Kenneth Owen Crosby, including its address, specialty, and other relevant details, was last updated on 2008-06-20.