Wren Pediatric Dentistry, Pllc in Brandon - Pediatric Dentistry
Wren Pediatric Dentistry, Pllc - NPI 1235339284
Wren Pediatric Dentistry, Pllc is a Pediatric Dentistry in Brandon, Mississippi. Wren Pediatric Dentistry, Pllc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Wren Pediatric Dentistry, Pllc is 1235339284. The last update date is 2007-07-18.
Wren Pediatric Dentistry, Pllc's current location address is 1390 W Government St, Brandon, Mississippi. You can contact this provider via phone number 6018240093 and fax number 6018250240. The mailing address for Wren Pediatric Dentistry, Pllc is 1390 W Government St, Brandon, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wren Pediatric Dentistry, Pllc |
|---|---|
| Address | 1390 W Government St, Brandon, Mississippi |
| Phone Number | 6018240093 |
| Fax Number | 6018250240 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wren Josh |
| Credentials | DMD |
| Telephone Number | 6018240093 |
NPI Number Detail
| NPI Number | 1235339284 |
|---|---|
| Provider Enumeration Date | 2007-07-18 |
| Last Updated Date | 2007-07-18 |
Provider Mailing Address Detail
| Address | 1390 W Government St |
|---|---|
| City | Brandon |
| State | Mississippi (MS) |
| Post Code | 390423272 |
| Phone Number | 6018240093 |
| Fax Number | 6018250240 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | PEDO-402-07 |
|
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 |
|---|---|---|---|
| 7707591 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Wren Pediatric Dentistry, Pllc by the Centers for Medicare & Medicaid Services?
The Wren Pediatric Dentistry, Pllc has been assigned the NPI (National Provider Identifier) 1235339284 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Wren Pediatric Dentistry, Pllc located?
The Wren Pediatric Dentistry, Pllc is located at 1390 W Government St, Brandon, MS 390423272.
What is Wren Pediatric Dentistry, Pllc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wren Pediatric Dentistry, Pllc is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1235339284 to Wren Pediatric Dentistry, Pllc?
The Wren Pediatric Dentistry, Pllc received its 1235339284 assignment from the Centers for Medicare & Medicaid Services on 2007-07-18.
When was the Wren Pediatric Dentistry, Pllc's information last updated?
The Wren Pediatric Dentistry, Pllc's information was last updated on 2007-07-18.
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA