Rodman Owen Emory in Boise - Pediatric Dentistry
Rodman Owen Emory - NPI 1427012046
Rodman Owen Emory is a Pediatric Dentistry in Boise, Idaho. Rodman Owen Emory practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Rodman Owen Emory is 1427012046. The last update date is 2012-10-09.
Rodman Owen Emory's current location address is 13014 W Persimmon Ln, Boise, Idaho. You can contact this provider via phone number 2083772072 and fax number 2083767580. The mailing address for Rodman Owen Emory is 13014 W Persimmon Ln, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rodman Owen Emory |
|---|---|
| Address | 13014 W Persimmon Ln, Boise, Idaho |
| Phone Number | 2083772072 |
| Fax Number | 2083767580 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1427012046 |
|---|---|
| Provider Enumeration Date | 2006-04-12 |
| Last Updated Date | 2012-10-09 |
Provider Mailing Address Detail
| Address | 13014 W Persimmon Ln |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837131986 |
| Phone Number | 2083772072 |
| Fax Number | 2083767580 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D1703 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2697900 | ID | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Rodman Owen Emory by the Centers for Medicare & Medicaid Services?
The Rodman Owen Emory has been assigned the NPI (National Provider Identifier) 1427012046. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Rodman Owen Emory located?
The Rodman Owen Emory is located at 13014 W Persimmon Ln, Boise, ID 837131986.
What is Rodman Owen Emory's area of expertise and its corresponding taxonomy classification?
The Rodman Owen Emory'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 Rodman Owen Emory receive its 1427012046 assignment from the Centers for Medicare & Medicaid Services?
The Rodman Owen Emory was assigned its 1427012046 on 2006-04-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Rodman Owen Emory most recently updated or revised?
The information pertaining to Rodman Owen Emory, including its address, specialty, and other relevant details, was last updated or revised on 2012-10-09.