Enas Al-Khadra in Fort Lauderdale - Pediatric Dentistry
Enas Al-Khadra - NPI 1588672430
Enas Al-Khadra is a Pediatric Dentistry in Fort Lauderdale, Florida. Enas Al-Khadra practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Enas Al-Khadra is 1588672430. The last update date is 2010-06-29.
Enas Al-Khadra's current location address is 4800 Ne 20th Ter Ste 301, Fort Lauderdale, Florida. You can contact this provider via phone number 9547279865 and fax number 9547279940. The mailing address for Enas Al-Khadra is 4800 Ne 20th Ter Ste 301, Fort Lauderdale, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Enas Al-Khadra |
|---|---|
| Address | 4800 Ne 20th Ter Ste 301, Fort Lauderdale, Florida |
| Phone Number | 9547279865 |
| Fax Number | 9547279940 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1588672430 |
|---|---|
| Provider Enumeration Date | 2006-08-04 |
| Last Updated Date | 2010-06-29 |
Provider Mailing Address Detail
| Address | 4800 Ne 20th Ter Ste 301 |
|---|---|
| City | Fort Lauderdale |
| State | Florida (FL) |
| Post Code | 333084510 |
| Phone Number | 9547279865 |
| Fax Number | 9547279940 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DN16650 |
|
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 |
|---|---|---|---|
| 75773000 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Enas Al-Khadra by the Centers for Medicare & Medicaid Services?
The Enas Al-Khadra has been assigned the NPI (National Provider Identifier) 1588672430 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Enas Al-Khadra?
The Enas Al-Khadra is physically situated at 4800 Ne 20Th Ter Ste 301, in the city of Fort Lauderdale, state of FL, with the postal code 333084510.
What is the area of specialization for Enas Al-Khadra, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Enas Al-Khadra is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1588672430 to Enas Al-Khadra?
The Enas Al-Khadra received its 1588672430 assignment from the Centers for Medicare & Medicaid Services on 2006-08-04.
As of what date were the details pertaining to Enas Al-Khadra last refreshed?
The information related to the Enas Al-Khadra, including its address, specialty, and other relevant details, was last updated on 2010-06-29.
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