Shoal Creek Pediatric Dentistry, L.L.C. in Kansas City - Pediatric Dentistry

Shoal Creek Pediatric Dentistry, L.L.C. - NPI 1295998144

Shoal Creek Pediatric Dentistry, L.L.C. is a Pediatric Dentistry in Kansas City, Missouri. Shoal Creek Pediatric Dentistry, L.L.C. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Shoal Creek Pediatric Dentistry, L.L.C. is 1295998144. The last update date is 2008-07-09.

Shoal Creek Pediatric Dentistry, L.L.C.'s current location address is 9051 Ne 81st Terrace, Kansas City, Missouri. You can contact this provider via phone number 8167815437. The mailing address for Shoal Creek Pediatric Dentistry, L.L.C. is 9051 Ne 81st Terrace, Kansas City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shoal Creek Pediatric Dentistry, L.L.C.
Address 9051 Ne 81st Terrace, Kansas City, Missouri
Phone Number 8167815437
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Thomas Scott David
Credentials DDS
Telephone Number 8167815437

NPI Number Detail

NPI Number 1295998144
Provider Enumeration Date 2008-07-09
Last Updated Date 2008-07-09

Provider Mailing Address Detail

Address 9051 Ne 81st Terrace
City Kansas City
State Missouri (MO)
Post Code 64158
Phone Number 8167815437
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 2005034207
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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FAQs about Shoal Creek Pediatric Dentistry, L.L.C.

What is the unique identification code assigned to Shoal Creek Pediatric Dentistry, L.L.C. by the Centers for Medicare & Medicaid Services?

The Shoal Creek Pediatric Dentistry, L.L.C. has been issued the NPI (National Provider Identifier) 1295998144. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Shoal Creek Pediatric Dentistry, L.L.C. is physically located?

The Shoal Creek Pediatric Dentistry, L.L.C. is situated at the following address: 9051 Ne 81St Terrace, Kansas City, MO 64158.

What is Shoal Creek Pediatric Dentistry, L.L.C.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Shoal Creek Pediatric Dentistry, L.L.C. is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.

When did the Shoal Creek Pediatric Dentistry, L.L.C. receive its 1295998144?

The Shoal Creek Pediatric Dentistry, L.L.C. was issued its 1295998144 on 2008-07-09, which is the date when the organization was assigned this unique identifier.

As of what date were the Shoal Creek Pediatric Dentistry, L.L.C.'s details last updated?

The information pertaining to the Shoal Creek Pediatric Dentistry, L.L.C., including its address, specialty, and other details, was most recently updated on 2008-07-09.

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