Katina Rene Beverly in Monroe - Pediatric Dentistry
Katina Rene Beverly - NPI 1154527018
Katina Rene Beverly is a Pediatric Dentistry in Monroe, Louisiana. Katina Rene Beverly practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Katina Rene Beverly is 1154527018. The last update date is 2008-11-13.
Katina Rene Beverly's current location address is 1203 N 5th St, Monroe, Louisiana. You can contact this provider via phone number 3188059000 and fax number 3188050345. The mailing address for Katina Rene Beverly is 1203 N 5th St, Monroe, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katina Rene Beverly |
|---|---|
| Address | 1203 N 5th St, Monroe, Louisiana |
| Phone Number | 3188059000 |
| Fax Number | 3188050345 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1154527018 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2008-11-13 |
Provider Mailing Address Detail
| Address | 1203 N 5th St |
|---|---|
| City | Monroe |
| State | Louisiana (LA) |
| Post Code | 712015317 |
| Phone Number | 3188059000 |
| Fax Number | 3188050345 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 5856 |
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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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Post Comment/ Review Below
What is the Katina Rene Beverly's 1154527018?
The Katina Rene Beverly's NPI (National Provider Identifier) Number is 1154527018. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Katina Rene Beverly's facilities are situated?
The facilities of Katina Rene Beverly are physically located at the following address: 1203 N 5Th St, Monroe, LA, 712015317.
What is the area of specialization for Katina Rene Beverly, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Katina Rene Beverly is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154527018 to Katina Rene Beverly?
The Katina Rene Beverly received its 1154527018 assignment from the Centers for Medicare & Medicaid Services on 2007-06-26.
As of what date were the Katina Rene Beverly's details last updated?
The information pertaining to the Katina Rene Beverly, including its address, specialty, and other details, was most recently updated on 2008-11-13.