The Dentists Clinic in Hagatna - Pediatric Dentistry
The Dentists Clinic - NPI 1093909558
The Dentists Clinic is a Pediatric Dentistry in Hagatna, Guam. The Dentists Clinic practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for The Dentists Clinic is 1093909558. The last update date is 2007-08-28.
The Dentists Clinic's current location address is Po Box W, Hagatna, Guam. You can contact this provider via phone number 6716467982 and fax number 6716467989. The mailing address for The Dentists Clinic is Po Box W, Hagatna, Guam. To know further, please read the information below!
Provider Profile Detail
Provider Organization | The Dentists Clinic |
---|---|
Address | Po Box W, Hagatna, Guam |
Phone Number | 6716467982 |
Fax Number | 6716467989 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | GENERAL PA |
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Authorized Official Name | Johnson Charles Jeffrey |
Credentials | DDS |
Telephone Number | 6716467982 |
NPI Number Detail
NPI Number | 1093909558 |
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Provider Enumeration Date | 2007-08-28 |
Last Updated Date | 2007-08-28 |
Provider Mailing Address Detail
Address | Po Box W |
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City | Hagatna |
State | Guam (GU) |
Post Code | 96932 |
Phone Number | 6716467982 |
Fax Number | 6716467989 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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Taxonomy | 1223P0221X |
Licence No | D 901 |
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 |
---|---|---|---|
555029 | HI | HAWAII DENTAL SERVICES | |
185 | GU | -- |
Post Comment/ Review Below
What is the unique identification code assigned to The Dentists Clinic by the Centers for Medicare & Medicaid Services?
The The Dentists Clinic has been issued the NPI (National Provider Identifier) 1093909558. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where The Dentists Clinic is located?
The The Dentists Clinic is situated at the following address: Po Box W, Hagatna, GU, 96932.
What is The Dentists Clinic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The The Dentists Clinic'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 the Centers for Medicare & Medicaid Services issue the 1093909558 to The Dentists Clinic?
The The Dentists Clinic received its 1093909558 assignment from the Centers for Medicare & Medicaid Services on 2007-08-28.
As of what date was the information regarding The Dentists Clinic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to The Dentists Clinic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-28.
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