George Calvin Brain in Tacoma - Pediatric Dentistry
George Calvin Brain - NPI 1407043367
George Calvin Brain is a Pediatric Dentistry in Tacoma, Washington. George Calvin Brain practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for George Calvin Brain is 1407043367. The last update date is 2007-09-25.
George Calvin Brain's current location address is 1901 S Union Ave, Tacoma, Washington. You can contact this provider via phone number 2535729777 and fax number 2536276766. The mailing address for George Calvin Brain is 1901 S Union Ave, Tacoma, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George Calvin Brain |
|---|---|
| Address | 1901 S Union Ave, Tacoma, Washington |
| Phone Number | 2535729777 |
| Fax Number | 2536276766 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1407043367 |
|---|---|
| Provider Enumeration Date | 2007-09-25 |
| Last Updated Date | 2007-09-25 |
Provider Mailing Address Detail
| Address | 1901 S Union Ave |
|---|---|
| City | Tacoma |
| State | Washington (WA) |
| Post Code | 984051702 |
| Phone Number | 2535729777 |
| Fax Number | 2536276766 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DE00003551 |
|
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 |
|---|---|---|---|
| 5031455 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to George Calvin Brain by the Centers for Medicare & Medicaid Services?
The George Calvin Brain has been assigned the NPI (National Provider Identifier) 1407043367 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where George Calvin Brain is geographically located?
The George Calvin Brain is physically situated at the following location: 1901 S Union Ave, Tacoma, WA, 984051702.
What is George Calvin Brain'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 George Calvin Brain is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407043367 to George Calvin Brain?
The Centers for Medicare & Medicaid Services originally issued the 1407043367 to George Calvin Brain on 2007-09-25.
As of what date were the details related to George Calvin Brain most recently updated or revised?
The information pertaining to George Calvin Brain, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-25.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC