Dmitry Stillman in Ridgefield Park - Pediatric Dentistry
Dmitry Stillman - NPI 1275522880
Dmitry Stillman is a Pediatric Dentistry in Ridgefield Park, New Jersey. Dmitry Stillman practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Dmitry Stillman is 1275522880. The last update date is 2008-07-22.
Dmitry Stillman's current location address is 45 Winant Avenue, Ridgefield Park, New Jersey. You can contact this provider via phone number 2014402100 and fax number 2014401279. The mailing address for Dmitry Stillman is 45 Winant Avenue, Ridgefield Park, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dmitry Stillman |
|---|---|
| Address | 45 Winant Avenue, Ridgefield Park, New Jersey |
| Phone Number | 2014402100 |
| Fax Number | 2014401279 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1275522880 |
|---|---|
| Provider Enumeration Date | 2005-10-17 |
| Last Updated Date | 2008-07-22 |
Provider Mailing Address Detail
| Address | 45 Winant Avenue |
|---|---|
| City | Ridgefield Park |
| State | New Jersey (NJ) |
| Post Code | 76601925 |
| Phone Number | 2014402100 |
| Fax Number | 2014401279 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DI19909 |
|
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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What is the unique 10-digit identifier code assigned to Dmitry Stillman by the Centers for Medicare & Medicaid Services?
The Dmitry Stillman has been issued the NPI (National Provider Identifier) 1275522880 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Dmitry Stillman located?
The Dmitry Stillman is located at 45 Winant Avenue, Ridgefield Park, NJ 76601925.
What is the area of specialization for Dmitry Stillman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dmitry Stillman 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 1275522880 to Dmitry Stillman?
The Dmitry Stillman received its 1275522880 assignment from the Centers for Medicare & Medicaid Services on 2005-10-17.
When was the information pertaining to Dmitry Stillman most recently updated or revised?
The details related to Dmitry Stillman, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-22.
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