Tegwyn Brickhouse in Richmond - Pediatric Dentistry
Tegwyn Brickhouse - NPI 1285664961
Tegwyn Brickhouse is a Pediatric Dentistry in Richmond, Virginia. Tegwyn Brickhouse practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Tegwyn Brickhouse is 1285664961. The last update date is 2012-12-14.
Tegwyn Brickhouse's current location address is 521 N 11th St, Richmond, Virginia. You can contact this provider via phone number 8048289095 and fax number 8048271244. The mailing address for Tegwyn Brickhouse is 521 N 11th St, Richmond, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tegwyn Brickhouse |
|---|---|
| Address | 521 N 11th St, Richmond, Virginia |
| Phone Number | 8048289095 |
| Fax Number | 8048271244 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1285664961 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2012-12-14 |
Provider Mailing Address Detail
| Address | 521 N 11th St |
|---|---|
| City | Richmond |
| State | Virginia (VA) |
| Post Code | 232985045 |
| Phone Number | 8048289095 |
| Fax Number | 8048271244 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 411000034 |
|
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 |
|---|---|---|---|
| 01-0025621 | VA | -- | |
| 18308 | VA | -- | |
| 463655 | VA | ANTHEM BC/BS |
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What is the unique 10-digit identifier code issued to Tegwyn Brickhouse by the Centers for Medicare & Medicaid Services?
The Tegwyn Brickhouse has been assigned the NPI (National Provider Identifier) 1285664961 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Tegwyn Brickhouse is located?
The Tegwyn Brickhouse is situated at the following address: 521 N 11Th St, Richmond, VA, 232985045.
What is Tegwyn Brickhouse's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tegwyn Brickhouse is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
When was the Tegwyn Brickhouse's 1285664961 issued?
The Tegwyn Brickhouse's 1285664961 was issued on 2006-07-05.
As of what date were the Tegwyn Brickhouse's details last updated?
The information pertaining to the Tegwyn Brickhouse, including its address, specialty, and other details, was most recently updated on 2012-12-14.
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