Kids Smile, Pc in San Antonio - Pediatric Dentistry
Kids Smile, Pc - NPI 1871754978
Kids Smile, Pc is a Pediatric Dentistry in San Antonio, Texas. Kids Smile, Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kids Smile, Pc is 1871754978. The last update date is 2008-06-20.
Kids Smile, Pc's current location address is 315 N San Saba, San Antonio, Texas. You can contact this provider via phone number 2102258888 and fax number 2102254195. The mailing address for Kids Smile, Pc is 315 N San Saba, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kids Smile, Pc |
|---|---|
| Address | 315 N San Saba, San Antonio, Texas |
| Phone Number | 2102258888 |
| Fax Number | 2102254195 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Marcushamer Mauricio |
| Credentials | DDS |
| Telephone Number | 2102258888 |
NPI Number Detail
| NPI Number | 1871754978 |
|---|---|
| Provider Enumeration Date | 2008-06-20 |
| Last Updated Date | 2008-06-20 |
Provider Mailing Address Detail
| Address | 315 N San Saba |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782073154 |
| Phone Number | 2102258888 |
| Fax Number | 2102254195 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 18580 |
|
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 |
|---|---|---|---|
| 1209389-02 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kids Smile, Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Kids Smile, Pc has been assigned the NPI (National Provider Identifier) 1871754978. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Kids Smile, Pc?
The Kids Smile, Pc is physically situated at 315 N San Saba, in the city of San Antonio, state of TX, with the postal code 782073154.
What is Kids Smile, Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kids Smile, Pc is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
When did Kids Smile, Pc receive its 1871754978 assignment?
The Kids Smile, Pc was assigned its 1871754978 on 2008-06-20, which is the date when this unique identifier was issued to the organization.
As of what date were the Kids Smile, Pc's details last updated?
The information pertaining to the Kids Smile, Pc, including its address, specialty, and other details, was most recently updated on 2008-06-20.
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