Periodontal Care, Pa in Apple Valley - Periodontics
Periodontal Care, Pa - NPI 1770703688
Periodontal Care, Pa is a Periodontics in Apple Valley, Minnesota. Periodontal Care, Pa practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Periodontal Care, Pa is 1770703688. The last update date is 2020-08-22.
Periodontal Care, Pa's current location address is 7493 147th St W, Apple Valley, Minnesota. You can contact this provider via phone number 9524320010 and fax number 9524320011. The mailing address for Periodontal Care, Pa is 7493 147th St W, Apple Valley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Periodontal Care, Pa |
|---|---|
| Address | 7493 147th St W, Apple Valley, Minnesota |
| Phone Number | 9524320010 |
| Fax Number | 9524320011 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Rajek David Edgar |
| Credentials | DDS |
| Telephone Number | 9524320010 |
NPI Number Detail
| NPI Number | 1770703688 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 7493 147th St W |
|---|---|
| City | Apple Valley |
| State | Minnesota (MN) |
| Post Code | 551244505 |
| Phone Number | 9524320010 |
| Fax Number | 9524320011 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 8037 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Periodontal Care, Pa by the Centers for Medicare & Medicaid Services?
The Periodontal Care, Pa has been assigned the NPI (National Provider Identifier) 1770703688. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Periodontal Care, Pa?
The Periodontal Care, Pa is situated at 7493 147Th St W, in the city of Apple Valley, state of MN, with the zip code 551244505.
What is the area of specialization for Periodontal Care, Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Periodontal Care, Pa is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.
On what date did Periodontal Care, Pa receive its 1770703688 assignment from the Centers for Medicare & Medicaid Services?
The Periodontal Care, Pa was assigned its 1770703688 on 2007-04-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Periodontal Care, Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Periodontal Care, Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.