Contemporary Periodontics Pc in Cedar Rapids - Periodontics
Contemporary Periodontics Pc - NPI 1528135944
Contemporary Periodontics Pc is a Periodontics in Cedar Rapids, Iowa. Contemporary Periodontics Pc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Contemporary Periodontics Pc is 1528135944. The last update date is 2012-06-27.
Contemporary Periodontics Pc's current location address is 3900 River Ridge Drive Ne, Cedar Rapids, Iowa. You can contact this provider via phone number 3193639880 and fax number 3193638386. The mailing address for Contemporary Periodontics Pc is 3900 River Ridge Drive Ne, Cedar Rapids, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Contemporary Periodontics Pc |
|---|---|
| Address | 3900 River Ridge Drive Ne, Cedar Rapids, Iowa |
| Phone Number | 3193639880 |
| Fax Number | 3193638386 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Johnson Christophe Truman |
| Credentials | DDS, MS |
| Telephone Number | 3193639880 |
NPI Number Detail
| NPI Number | 1528135944 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2012-06-27 |
Provider Mailing Address Detail
| Address | 3900 River Ridge Drive Ne |
|---|---|
| City | Cedar Rapids |
| State | Iowa (IA) |
| Post Code | 524027599 |
| Phone Number | 3193639880 |
| Fax Number | 3193638386 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 7959 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 980081 | UNITED CONCORDIA | ||
| 46932 | IA | WELLMARK BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Contemporary Periodontics Pc by the Centers for Medicare & Medicaid Services?
The Contemporary Periodontics Pc has been assigned the NPI (National Provider Identifier) 1528135944 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Contemporary Periodontics Pc located?
The Contemporary Periodontics Pc is located at 3900 River Ridge Drive Ne, Cedar Rapids, IA 524027599.
What is Contemporary Periodontics Pc'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 Contemporary Periodontics Pc is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1528135944 to Contemporary Periodontics Pc?
The Centers for Medicare & Medicaid Services assigned the 1528135944 to Contemporary Periodontics Pc on 2006-11-29.
As of what date was the information regarding Contemporary Periodontics Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Contemporary Periodontics Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-06-27.