Angela Dawn Demoss in Englewood - Pediatric Dentistry
Angela Dawn Demoss - NPI 1265571715
Angela Dawn Demoss is a Pediatric Dentistry in Englewood, Ohio. Angela Dawn Demoss practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Angela Dawn Demoss is 1265571715. The last update date is 2007-07-08.
Angela Dawn Demoss's current location address is 120 W Wenger Rd, Englewood, Ohio. You can contact this provider via phone number 9378361206 and fax number 9378363620. The mailing address for Angela Dawn Demoss is 120 W Wenger Rd, Englewood, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela Dawn Demoss |
|---|---|
| Address | 120 W Wenger Rd, Englewood, Ohio |
| Phone Number | 9378361206 |
| Fax Number | 9378363620 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1265571715 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 120 W Wenger Rd |
|---|---|
| City | Englewood |
| State | Ohio (OH) |
| Post Code | 453222725 |
| Phone Number | 9378361206 |
| Fax Number | 9378363620 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 30019818 |
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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 Angela Dawn Demoss's 1265571715?
The Angela Dawn Demoss's NPI (National Provider Identifier) Number is 1265571715. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Angela Dawn Demoss is physically located?
The Angela Dawn Demoss is physically situated at the following address: 120 W Wenger Rd, Englewood, OH, 453222725.
What is the Angela Dawn Demoss's area of specialization and corresponding taxonomy classification?
The Angela Dawn Demoss's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
When did Angela Dawn Demoss receive its 1265571715 assignment?
The Angela Dawn Demoss was assigned its 1265571715 on 2007-02-05, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Angela Dawn Demoss most recently updated or revised?
The information pertaining to Angela Dawn Demoss, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1679570980
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