Pediatric Dental Assoc., Ltd in Philadelphia - Pediatric Dentistry
Pediatric Dental Assoc., Ltd - NPI 1538231220
Pediatric Dental Assoc., Ltd is a Pediatric Dentistry in Philadelphia, Pennsylvania. Pediatric Dental Assoc., Ltd practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dental Assoc., Ltd is 1538231220. The last update date is 2008-05-30.
Pediatric Dental Assoc., Ltd's current location address is 6404 Roosevelt Blvd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157433700 and fax number 2157433706. The mailing address for Pediatric Dental Assoc., Ltd is 6404 Roosevelt Blvd, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Pediatric Dental Assoc., Ltd |
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Address | 6404 Roosevelt Blvd, Philadelphia, Pennsylvania |
Phone Number | 2157433700 |
Fax Number | 2157433706 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | INSURANCE |
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Authorized Official Name | Coll Joanne |
Telephone Number | 2157433700 |
NPI Number Detail
NPI Number | 1538231220 |
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Provider Enumeration Date | 2006-11-15 |
Last Updated Date | 2008-05-30 |
Provider Mailing Address Detail
Address | 6404 Roosevelt Blvd |
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City | Philadelphia |
State | Pennsylvania (PA) |
Post Code | 191492943 |
Phone Number | 2157433700 |
Fax Number | 2157433706 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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Taxonomy | 1223P0221X |
Licence No | DS018048L |
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 Pediatric Dental Assoc., Ltd by the Centers for Medicare & Medicaid Services?
The Pediatric Dental Assoc., Ltd has been issued the NPI (National Provider Identifier) 1538231220 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Pediatric Dental Assoc., Ltd is located?
The Pediatric Dental Assoc., Ltd is situated at the following address: 6404 Roosevelt Blvd, Philadelphia, PA, 191492943.
What is Pediatric Dental Assoc., Ltd's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pediatric Dental Assoc., Ltd is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
When did Pediatric Dental Assoc., Ltd receive its 1538231220 assignment?
The Pediatric Dental Assoc., Ltd was assigned its 1538231220 on 2006-11-15, which is the date when this unique identifier was issued to the organization.
As of what date were the Pediatric Dental Assoc., Ltd's details last updated?
The information pertaining to the Pediatric Dental Assoc., Ltd, including its address, specialty, and other details, was most recently updated on 2008-05-30.
NPI Number: 1982607784
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