Randall Parley Blair in Meridian - Pediatric Dentistry
Randall Parley Blair - NPI 1659546174
Randall Parley Blair is a Pediatric Dentistry in Meridian, Idaho. Randall Parley Blair practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Randall Parley Blair is 1659546174. The last update date is 2021-02-09.
Randall Parley Blair's current location address is 37 W Archerfield St Ste 100, Meridian, Idaho. You can contact this provider via phone number 2089389958 and fax number 2082980646. The mailing address for Randall Parley Blair is 37 W Archerfield St Ste 100, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Parley Blair |
|---|---|
| Address | 37 W Archerfield St Ste 100, Meridian, Idaho |
| Phone Number | 2089389958 |
| Fax Number | 2082980646 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1659546174 |
|---|---|
| Provider Enumeration Date | 2008-04-25 |
| Last Updated Date | 2021-02-09 |
Provider Mailing Address Detail
| Address | 37 W Archerfield St Ste 100 |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836466587 |
| Phone Number | 2089389958 |
| Fax Number | 2082980646 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D4550PD |
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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 identifier code issued to Randall Parley Blair by the Centers for Medicare & Medicaid Services (CMS)?
The Randall Parley Blair has been assigned the NPI (National Provider Identifier) 1659546174. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Randall Parley Blair's physical address?
The Randall Parley Blair is physically located at 37 W Archerfield St Ste 100, in the city of Meridian, ID, with the postal code 836466587.
What is Randall Parley Blair's specialized field of practice, and what is the corresponding taxonomy classification code?
The Randall Parley Blair's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659546174 to Randall Parley Blair?
The Centers for Medicare & Medicaid Services originally issued the 1659546174 to Randall Parley Blair on 2008-04-25.
When was the information regarding Randall Parley Blair most recently updated?
The details pertaining to the Randall Parley Blair, including its address, specialty, and other relevant information, were last refreshed on 2021-02-09.