Amarillo Pediatric Dentistry And Orthodontics, Pa in Amarillo - Pediatric Dentistry
Amarillo Pediatric Dentistry And Orthodontics, Pa - NPI 1073614772
Amarillo Pediatric Dentistry And Orthodontics, Pa is a Pediatric Dentistry in Amarillo, Texas. Amarillo Pediatric Dentistry And Orthodontics, Pa practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Amarillo Pediatric Dentistry And Orthodontics, Pa is 1073614772. The last update date is 2013-05-01.
Amarillo Pediatric Dentistry And Orthodontics, Pa's current location address is 2455 W Interstate 40, Amarillo, Texas. You can contact this provider via phone number 8063505437 and fax number 8063505438. The mailing address for Amarillo Pediatric Dentistry And Orthodontics, Pa is 2455 W Interstate 40, Amarillo, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Amarillo Pediatric Dentistry And Orthodontics, Pa |
|---|---|
| Address | 2455 W Interstate 40, Amarillo, Texas |
| Phone Number | 8063505437 |
| Fax Number | 8063505438 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Moore L Shane |
| Credentials | DDS |
| Telephone Number | 8063505437 |
NPI Number Detail
| NPI Number | 1073614772 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2013-05-01 |
Provider Mailing Address Detail
| Address | 2455 W Interstate 40 |
|---|---|
| City | Amarillo |
| State | Texas (TX) |
| Post Code | 791091852 |
| Phone Number | 8063505437 |
| Fax Number | 8063505438 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 18661 |
|
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 |
|---|---|---|---|
| 0042NQ | TX | BLUE CROSS BLUE SHIELD | |
| 177133901 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Amarillo Pediatric Dentistry And Orthodontics, Pa?
The Amarillo Pediatric Dentistry And Orthodontics, Pa has been issued the NPI (National Provider Identifier) 1073614772 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Amarillo Pediatric Dentistry And Orthodontics, Pa is located?
The Amarillo Pediatric Dentistry And Orthodontics, Pa is situated at the following address: 2455 W Interstate 40, Amarillo, TX, 791091852.
What is Amarillo Pediatric Dentistry And Orthodontics, Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Amarillo Pediatric Dentistry And Orthodontics, Pa is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
When did Amarillo Pediatric Dentistry And Orthodontics, Pa receive its 1073614772 assignment?
The Amarillo Pediatric Dentistry And Orthodontics, Pa was assigned its 1073614772 on 2006-09-26, which is the date when this unique identifier was issued to the organization.
When was the information regarding Amarillo Pediatric Dentistry And Orthodontics, Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Amarillo Pediatric Dentistry And Orthodontics, Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-05-01.