Thomas Arch Pribisco in Jacksonville - Pediatric Dentistry
Thomas Arch Pribisco - NPI 1639370216
Thomas Arch Pribisco is a Pediatric Dentistry in Jacksonville, Florida. Thomas Arch Pribisco practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Thomas Arch Pribisco is 1639370216. The last update date is 2007-07-08.
Thomas Arch Pribisco's current location address is 10822 Old Saint Augustine Road, Jacksonville, Florida. You can contact this provider via phone number 9042922410 and fax number 9042922028. The mailing address for Thomas Arch Pribisco is 10822 Old Saint Augustine Road, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Arch Pribisco |
|---|---|
| Address | 10822 Old Saint Augustine Road, Jacksonville, Florida |
| Phone Number | 9042922410 |
| Fax Number | 9042922028 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1639370216 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10822 Old Saint Augustine Road |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 32257 |
| Phone Number | 9042922410 |
| Fax Number | 9042922028 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 7393 |
|
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 10-digit identification code issued to Thomas Arch Pribisco by the Centers for Medicare & Medicaid Services?
The Thomas Arch Pribisco has been assigned the NPI (National Provider Identifier) 1639370216 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Thomas Arch Pribisco is physically located?
The Thomas Arch Pribisco is physically situated at the following address: 10822 Old Saint Augustine Road, Jacksonville, FL, 32257.
What is Thomas Arch Pribisco's area of expertise and its corresponding taxonomy classification?
The Thomas Arch Pribisco's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1639370216 to Thomas Arch Pribisco?
The Centers for Medicare & Medicaid Services assigned the 1639370216 to Thomas Arch Pribisco on 2007-05-30.
When was the Thomas Arch Pribisco's information last updated?
The Thomas Arch Pribisco's information was last updated on 2007-07-08.
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