Gary H Breen is a Pediatric Dentistry in Rutland, Vermont. Gary H Breen practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Gary H Breen is 1215039375. The last update date is 2007-07-08.
Gary H Breen's current location address is 50 Mahoney Ave, Rutland, Vermont. You can contact this provider via phone number 8027756771 and fax number 8027753116. The mailing address for Gary H Breen is 50 Mahoney Ave, Rutland, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary H Breen |
|---|---|
| Address | 50 Mahoney Ave, Rutland, Vermont |
| Phone Number | 8027756771 |
| Fax Number | 8027753116 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1215039375 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 50 Mahoney Ave |
|---|---|
| City | Rutland |
| State | Vermont (VT) |
| Post Code | 57014836 |
| Phone Number | 8027756771 |
| Fax Number | 8027753116 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 620 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2413 | VT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gary H Breen by the Centers for Medicare & Medicaid Services?
The Gary H Breen has been issued the NPI (National Provider Identifier) 1215039375 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 Gary H Breen is geographically located?
The Gary H Breen is physically situated at the following location: 50 Mahoney Ave, Rutland, VT, 57014836.
What is Gary H Breen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gary H Breen's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
When did Gary H Breen receive its 1215039375 assignment?
The Gary H Breen was assigned its 1215039375 on 2006-09-01, which is the date when this unique identifier was issued to the organization.
When was the Gary H Breen's information last updated?
The Gary H Breen's information was last updated on 2007-07-08.