Charles Richard Dtaley in Hillsboro - Pediatric Dentistry
Charles Richard Dtaley - NPI 1750451555
Charles Richard Dtaley is a Pediatric Dentistry in Hillsboro, Oregon. Charles Richard Dtaley practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Charles Richard Dtaley is 1750451555. The last update date is 2007-07-08.
Charles Richard Dtaley's current location address is 6950 Ne Campus Way, Hillsboro, Oregon. You can contact this provider via phone number 5039522164 and fax number 5035264418. The mailing address for Charles Richard Dtaley is 6950 Ne Campus Way, Hillsboro, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Richard Dtaley |
|---|---|
| Address | 6950 Ne Campus Way, Hillsboro, Oregon |
| Phone Number | 5039522164 |
| Fax Number | 5035264418 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1750451555 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6950 Ne Campus Way |
|---|---|
| City | Hillsboro |
| State | Oregon (OR) |
| Post Code | 971245611 |
| Phone Number | 5039522164 |
| Fax Number | 5035264418 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 4879 |
|
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 |
|---|---|---|---|
| 6783 | OR | OREGON HEALTH PLAN |
Post Comment/ Review Below
What is the unique identifier code issued to Charles Richard Dtaley by the Centers for Medicare & Medicaid Services?
The Charles Richard Dtaley has been assigned the NPI (National Provider Identifier) 1750451555. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Charles Richard Dtaley located?
The Charles Richard Dtaley is located at 6950 Ne Campus Way, Hillsboro, OR 971245611.
What is Charles Richard Dtaley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charles Richard Dtaley's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did the Charles Richard Dtaley receive the assignment of its 1750451555 from the Centers for Medicare & Medicaid Services?
The Charles Richard Dtaley was issued its 1750451555 by the Centers for Medicare & Medicaid Services on 2006-11-09.
As of what date were the Charles Richard Dtaley's details last updated?
The information pertaining to the Charles Richard Dtaley, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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