Perioimplant Associates, Psc in Louisville - Periodontics
Perioimplant Associates, Psc - NPI 1720009061
Perioimplant Associates, Psc is a Periodontics in Louisville, Kentucky. Perioimplant Associates, Psc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Perioimplant Associates, Psc is 1720009061. The last update date is 2010-08-04.
Perioimplant Associates, Psc's current location address is 4010 Dupont Cir, Louisville, Kentucky. You can contact this provider via phone number 5028979417. The mailing address for Perioimplant Associates, Psc is 4010 Dupont Cir, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Perioimplant Associates, Psc |
|---|---|
| Address | 4010 Dupont Cir, Louisville, Kentucky |
| Phone Number | 5028979417 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Clark L. Debbie |
| Telephone Number | 5028979417 |
NPI Number Detail
| NPI Number | 1720009061 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2010-08-04 |
Provider Mailing Address Detail
| Address | 4010 Dupont Cir |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402074812 |
| Phone Number | 5028979417 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 8228 |
|
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 Perioimplant Associates, Psc's 1720009061?
The Perioimplant Associates, Psc's NPI (National Provider Identifier) Number is 1720009061. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Perioimplant Associates, Psc is geographically located?
The Perioimplant Associates, Psc is physically situated at the following location: 4010 Dupont Cir, Louisville, KY, 402074812.
What is Perioimplant Associates, Psc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Perioimplant Associates, Psc's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.
On what date did Perioimplant Associates, Psc receive its 1720009061 assignment from the Centers for Medicare & Medicaid Services?
The Perioimplant Associates, Psc was assigned its 1720009061 on 2006-07-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Perioimplant Associates, Psc's details last updated?
The information pertaining to the Perioimplant Associates, Psc, including its address, specialty, and other details, was most recently updated on 2010-08-04.
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