Xavier Mata is a Periodontics in Phoenix, Arizona. Xavier Mata practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Xavier Mata is 1376799445. The last update date is 2019-06-18.
Xavier Mata's current location address is 8608 S 30th Way, Phoenix, Arizona. You can contact this provider via phone number 4802681569. The mailing address for Xavier Mata is 8608 S 30th Way, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Xavier Mata |
|---|---|
| Address | 8608 S 30th Way, Phoenix, Arizona |
| Phone Number | 4802681569 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.M.D., M. |
NPI Number Detail
| NPI Number | 1376799445 |
|---|---|
| Provider Enumeration Date | 2008-08-08 |
| Last Updated Date | 2019-06-18 |
Provider Mailing Address Detail
| Address | 8608 S 30th Way |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850428249 |
| Phone Number | 4802681569 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 60014 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique identifier code issued to Xavier Mata by the Centers for Medicare & Medicaid Services?
The Xavier Mata has been assigned the NPI (National Provider Identifier) 1376799445. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Xavier Mata?
The Xavier Mata is physically situated at 8608 S 30Th Way, in the city of Phoenix, state of AZ, with the postal code 850428249.
What is the Xavier Mata's area of specialization and corresponding taxonomy classification?
The Xavier Mata's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
On what date did Xavier Mata receive its 1376799445 assignment from the Centers for Medicare & Medicaid Services?
The Xavier Mata was assigned its 1376799445 on 2008-08-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Xavier Mata most recently updated or revised?
The details related to Xavier Mata, including its address, specialty, and other relevant information, were last updated or revised on 2019-06-18.
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