Susanne Schoppert Wallengren in Lutherville - Pediatric Dentistry
Susanne Schoppert Wallengren - NPI 1932265055
Susanne Schoppert Wallengren is a Pediatric Dentistry in Lutherville, Maryland. Susanne Schoppert Wallengren practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Susanne Schoppert Wallengren is 1932265055. The last update date is 2013-07-25.
Susanne Schoppert Wallengren's current location address is 2324 West Joppa Rd, Lutherville, Maryland. You can contact this provider via phone number 4103210200 and fax number 4108251159. The mailing address for Susanne Schoppert Wallengren is 2324 West Joppa Rd, Lutherville, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susanne Schoppert Wallengren |
|---|---|
| Address | 2324 West Joppa Rd, Lutherville, Maryland |
| Phone Number | 4103210200 |
| Fax Number | 4108251159 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1932265055 |
|---|---|
| Provider Enumeration Date | 2007-01-01 |
| Last Updated Date | 2013-07-25 |
Provider Mailing Address Detail
| Address | 2324 West Joppa Rd |
|---|---|
| City | Lutherville |
| State | Maryland (MD) |
| Post Code | 21093 |
| Phone Number | 4103210200 |
| Fax Number | 4108251159 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 12747 |
|
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 |
|---|---|---|---|
| 30304152 | NH | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Susanne Schoppert Wallengren by the Centers for Medicare & Medicaid Services?
The Susanne Schoppert Wallengren has been issued the NPI (National Provider Identifier) 1932265055. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Susanne Schoppert Wallengren is geographically located?
The Susanne Schoppert Wallengren is physically situated at the following location: 2324 West Joppa Rd, Lutherville, MD, 21093.
What is the Susanne Schoppert Wallengren's specialty and taxonomy code?
The Susanne Schoppert Wallengren's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1932265055 to Susanne Schoppert Wallengren?
The Centers for Medicare & Medicaid Services originally issued the 1932265055 to Susanne Schoppert Wallengren on 2007-01-01.
As of what date were the details related to Susanne Schoppert Wallengren most recently updated or revised?
The information pertaining to Susanne Schoppert Wallengren, including its address, specialty, and other relevant details, was last updated or revised on 2013-07-25.
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