Acree-Isenhower Dental Coporation in Modesto - Pediatric Dentistry
Acree-Isenhower Dental Coporation - NPI 1427021757
Acree-Isenhower Dental Coporation is a Pediatric Dentistry in Modesto, California. Acree-Isenhower Dental Coporation practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Acree-Isenhower Dental Coporation is 1427021757. The last update date is 2020-08-05.
Acree-Isenhower Dental Coporation's current location address is 1801 Tully Road, Modesto, California. You can contact this provider via phone number 2093433500 and fax number 2095271971. The mailing address for Acree-Isenhower Dental Coporation is 1801 Tully Road, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Acree-Isenhower Dental Coporation |
|---|---|
| Address | 1801 Tully Road, Modesto, California |
| Phone Number | 2093433500 |
| Fax Number | 2095271971 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Acree Robert Corey |
| Credentials | DDS |
| Telephone Number | 2095290674 |
NPI Number Detail
| NPI Number | 1427021757 |
|---|---|
| Provider Enumeration Date | 2006-02-08 |
| Last Updated Date | 2020-08-05 |
Provider Mailing Address Detail
| Address | 1801 Tully Road |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 95350 |
| Phone Number | 2093433500 |
| Fax Number | 2095271971 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 48880 |
|
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 |
|---|---|---|---|
| 20789 | CA | DENTAL LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Acree-Isenhower Dental Coporation by the Centers for Medicare & Medicaid Services (CMS)?
The Acree-Isenhower Dental Coporation has been assigned the NPI (National Provider Identifier) 1427021757. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Acree-Isenhower Dental Coporation?
The Acree-Isenhower Dental Coporation is physically situated at 1801 Tully Road, in the city of Modesto, state of CA, with the postal code 95350.
What is Acree-Isenhower Dental Coporation's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Acree-Isenhower Dental Coporation's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did Acree-Isenhower Dental Coporation receive its 1427021757 assignment from the Centers for Medicare & Medicaid Services?
The Acree-Isenhower Dental Coporation was assigned its 1427021757 on 2006-02-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Acree-Isenhower Dental Coporation most recently updated?
The details pertaining to the Acree-Isenhower Dental Coporation, including its address, specialty, and other relevant information, were last refreshed on 2020-08-05.
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