Michael C Tew in West Jordan - Pediatric Dentistry

Michael C Tew - NPI 1356306872

Michael C Tew is a Pediatric Dentistry in West Jordan, Utah. Michael C Tew practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Michael C Tew is 1356306872. The last update date is 2007-07-08.

Michael C Tew's current location address is 3855 W 7800 S, West Jordan, Utah. You can contact this provider via phone number 8012821802 and fax number 8012826244. The mailing address for Michael C Tew is 3855 W 7800 S, West Jordan, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael C Tew
Address 3855 W 7800 S, West Jordan, Utah
Phone Number 8012821802
Fax Number 8012826244
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1356306872
Provider Enumeration Date 2006-04-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3855 W 7800 S
City West Jordan
State Utah (UT)
Post Code 840884314
Phone Number 8012821802
Fax Number 8012826244

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 5352062
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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FAQs about Michael C Tew

What is the Michael C Tew's unique identification number?

The Michael C Tew has been assigned the NPI (National Provider Identifier) Number 1356306872 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Michael C Tew is located?

The Michael C Tew is situated at the following address: 3855 W 7800 S, West Jordan, UT, 840884314.

What is Michael C Tew's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Michael C Tew'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 Michael C Tew receive the assignment of its 1356306872 from the Centers for Medicare & Medicaid Services?

The Michael C Tew was issued its 1356306872 by the Centers for Medicare & Medicaid Services on 2006-04-18.

As of what date were the details pertaining to Michael C Tew last refreshed?

The information related to the Michael C Tew, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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