Shirin Yasrebi in Lakeland - Pediatric Dentistry
Shirin Yasrebi - NPI 1821006800
Shirin Yasrebi is a Pediatric Dentistry in Lakeland, Florida. Shirin Yasrebi practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Shirin Yasrebi is 1821006800. The last update date is 2007-07-08.
Shirin Yasrebi's current location address is 2015 E Edgewood Dr, Lakeland, Florida. You can contact this provider via phone number 8636679000 and fax number 8636654368. The mailing address for Shirin Yasrebi is 2015 E Edgewood Dr, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shirin Yasrebi |
|---|---|
| Address | 2015 E Edgewood Dr, Lakeland, Florida |
| Phone Number | 8636679000 |
| Fax Number | 8636654368 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1821006800 |
|---|---|
| Provider Enumeration Date | 2006-08-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2015 E Edgewood Dr |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 33803 |
| Phone Number | 8636679000 |
| Fax Number | 8636654368 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | CO12434 |
|
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 |
|---|---|---|---|
| 732758 | FL | UNITED CONCORDIA | |
| 69205 | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Shirin Yasrebi's unique identification number?
The Shirin Yasrebi has been assigned the NPI (National Provider Identifier) Number 1821006800 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Shirin Yasrebi's facilities are situated?
The facilities of Shirin Yasrebi are physically located at the following address: 2015 E Edgewood Dr, Lakeland, FL, 33803.
What is Shirin Yasrebi's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shirin Yasrebi is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
When did Shirin Yasrebi receive its 1821006800 assignment?
The Shirin Yasrebi was assigned its 1821006800 on 2006-08-04, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Shirin Yasrebi last refreshed?
The information related to the Shirin Yasrebi, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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