Heartland Periodontics And Implant Dentistry Pc in Grand Island - Periodontics
Heartland Periodontics And Implant Dentistry Pc - NPI 1235243320
Heartland Periodontics And Implant Dentistry Pc is a Periodontics in Grand Island, Nebraska. Heartland Periodontics And Implant Dentistry Pc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Heartland Periodontics And Implant Dentistry Pc is 1235243320. The last update date is 2020-08-22.
Heartland Periodontics And Implant Dentistry Pc's current location address is 2414 W Faidley Avenue Suite 102, Grand Island, Nebraska. You can contact this provider via phone number 3083812010 and fax number 3083815726. The mailing address for Heartland Periodontics And Implant Dentistry Pc is 2414 W Faidley Avenue Suite 102, Grand Island, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Heartland Periodontics And Implant Dentistry Pc |
|---|---|
| Address | 2414 W Faidley Avenue Suite 102, Grand Island, Nebraska |
| Phone Number | 3083812010 |
| Fax Number | 3083815726 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sanderfer J Van |
| Credentials | DDS |
| Telephone Number | 3083812010 |
NPI Number Detail
| NPI Number | 1235243320 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2414 W Faidley Avenue Suite 102 |
|---|---|
| City | Grand Island |
| State | Nebraska (NE) |
| Post Code | 688034327 |
| Phone Number | 3083812010 |
| Fax Number | 3083815726 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 6223 |
|
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 Heartland Periodontics And Implant Dentistry Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Heartland Periodontics And Implant Dentistry Pc has been assigned the NPI (National Provider Identifier) 1235243320. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Heartland Periodontics And Implant Dentistry Pc is physically located?
The Heartland Periodontics And Implant Dentistry Pc is situated at the following address: 2414 W Faidley Avenue Suite 102, Grand Island, NE 688034327.
What is Heartland Periodontics And Implant Dentistry Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Heartland Periodontics And Implant Dentistry Pc is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1235243320 to Heartland Periodontics And Implant Dentistry Pc?
The Centers for Medicare & Medicaid Services originally issued the 1235243320 to Heartland Periodontics And Implant Dentistry Pc on 2006-08-18.
As of what date were the details pertaining to Heartland Periodontics And Implant Dentistry Pc last refreshed?
The information related to the Heartland Periodontics And Implant Dentistry Pc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.