Wilhelmina Fouche O'Reilly in Jackson - Pediatric Dentistry
Wilhelmina Fouche O'Reilly - NPI 1609974757
Wilhelmina Fouche O'Reilly is a Pediatric Dentistry in Jackson, Mississippi. Wilhelmina Fouche O'Reilly practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Wilhelmina Fouche O'Reilly is 1609974757. The last update date is 2007-07-08.
Wilhelmina Fouche O'Reilly's current location address is 514f E Woodrow Wilson Ave, Jackson, Mississippi. You can contact this provider via phone number 6019823132 and fax number 6019823136. The mailing address for Wilhelmina Fouche O'Reilly is 514f E Woodrow Wilson Ave, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wilhelmina Fouche O'Reilly |
|---|---|
| Address | 514f E Woodrow Wilson Ave, Jackson, Mississippi |
| Phone Number | 6019823132 |
| Fax Number | 6019823136 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1609974757 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 514f E Woodrow Wilson Ave |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164538 |
| Phone Number | 6019823132 |
| Fax Number | 6019823136 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | PEDO-075-83 |
|
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 |
|---|---|---|---|
| 60004 | MS | -- |
Post Comment/ Review Below
What is the Wilhelmina Fouche O'Reilly's 1609974757?
The Wilhelmina Fouche O'Reilly's NPI (National Provider Identifier) Number is 1609974757. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Wilhelmina Fouche O'Reilly's facilities are geographically located?
The facilities of Wilhelmina Fouche O'Reilly are physically situated at the following location: 514F E Woodrow Wilson Ave, Jackson, MS, 392164538.
What is Wilhelmina Fouche O'Reilly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Wilhelmina Fouche O'Reilly is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date did the Wilhelmina Fouche O'Reilly receive the assignment of its 1609974757 from the Centers for Medicare & Medicaid Services?
The Wilhelmina Fouche O'Reilly was issued its 1609974757 by the Centers for Medicare & Medicaid Services on 2006-09-20.
When was the information regarding Wilhelmina Fouche O'Reilly most recently updated?
The details pertaining to the Wilhelmina Fouche O'Reilly, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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