Pediatric Dentistry Of Salem Llc in Salem - Pediatric Dentistry
Pediatric Dentistry Of Salem Llc - NPI 1184831083
Pediatric Dentistry Of Salem Llc is a Pediatric Dentistry in Salem, Oregon. Pediatric Dentistry Of Salem Llc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dentistry Of Salem Llc is 1184831083. The last update date is 2020-08-22.
Pediatric Dentistry Of Salem Llc's current location address is 2020 Commercial St Se, Salem, Oregon. You can contact this provider via phone number 5033647545 and fax number 5035407911. The mailing address for Pediatric Dentistry Of Salem Llc is 2020 Commercial St Se, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dentistry Of Salem Llc |
|---|---|
| Address | 2020 Commercial St Se, Salem, Oregon |
| Phone Number | 5033647545 |
| Fax Number | 5035407911 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Heringer Willard Weston |
| Credentials | D.M.D. |
| Telephone Number | 5033647545 |
NPI Number Detail
| NPI Number | 1184831083 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2020 Commercial St Se |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973025208 |
| Phone Number | 5033647545 |
| Fax Number | 5035407911 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 4631 |
|
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 |
|---|---|---|---|
| 87163 | OR | -- | |
| 233143 | OR | -- | |
| 1223PO221X | OR | TAXONOMY CODE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Pediatric Dentistry Of Salem Llc by the Centers for Medicare & Medicaid Services?
The Pediatric Dentistry Of Salem Llc has been issued the NPI (National Provider Identifier) 1184831083 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Pediatric Dentistry Of Salem Llc is geographically located?
The Pediatric Dentistry Of Salem Llc is physically situated at the following location: 2020 Commercial St Se, Salem, OR, 973025208.
What is the Pediatric Dentistry Of Salem Llc's area of specialization and corresponding taxonomy classification?
The Pediatric Dentistry Of Salem Llc's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did Pediatric Dentistry Of Salem Llc receive its 1184831083 assignment from the Centers for Medicare & Medicaid Services?
The Pediatric Dentistry Of Salem Llc was assigned its 1184831083 on 2007-05-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Pediatric Dentistry Of Salem Llc most recently updated or revised?
The information pertaining to Pediatric Dentistry Of Salem Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.