Stephen Pauly in Fort Collins - Pediatric Dentistry

Stephen Pauly - NPI 1659379493

Stephen Pauly is a Pediatric Dentistry in Fort Collins, Colorado. Stephen Pauly practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Stephen Pauly is 1659379493. The last update date is 2007-07-08.

Stephen Pauly's current location address is 1513 Riverside Ave, Fort Collins, Colorado. You can contact this provider via phone number 9704844255. The mailing address for Stephen Pauly is 1513 Riverside Ave, Fort Collins, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Pauly
Address 1513 Riverside Ave, Fort Collins, Colorado
Phone Number 9704844255
Fax Number
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1659379493
Provider Enumeration Date 2005-07-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1513 Riverside Ave
City Fort Collins
State Colorado (CO)
Post Code 8052443480
Phone Number 9704844255
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 105062
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
2050623 CO --

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FAQs about Stephen Pauly

Could you please provide the complete street address where Stephen Pauly is physically located?

The Stephen Pauly is physically situated at the following address: 1513 Riverside Ave, Fort Collins, CO, 8052443480.

What is the Stephen Pauly's area of specialization and corresponding taxonomy classification?

The Stephen Pauly's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.

What is Stephen Pauly's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Stephen Pauly is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.

When did the Stephen Pauly receive its 1659379493?

The Stephen Pauly was issued its 1659379493 on 2005-07-13, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Stephen Pauly most recently updated or revised?

The information pertaining to Stephen Pauly, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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