William Carroll Broome in - Periodontics
William Carroll Broome - NPI 1710903711
William Carroll Broome is a Periodontics in , . William Carroll Broome practices all healthcare services and medical treatments related to Periodontics. The NPI Number for William Carroll Broome is 1710903711. The last update date is 2007-07-08.
William Carroll Broome's current location address is , , . You can contact this provider via phone number . The mailing address for William Carroll Broome is , , . To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Carroll Broome |
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| Address | , , |
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| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1710903711 |
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| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | |
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| City | |
| State | () |
| Post Code | |
| Phone Number | |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
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| Taxonomy | 1223P0300X |
| Licence No | 5379 |
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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 10-digit identifier code assigned to William Carroll Broome by the Centers for Medicare & Medicaid Services?
The William Carroll Broome has been issued the NPI (National Provider Identifier) 1710903711 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the William Carroll Broome's physical address?
The William Carroll Broome is physically located at , in the city of , , with the postal code .
What is William Carroll Broome'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 William Carroll Broome 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 issue the 1710903711 to William Carroll Broome?
The William Carroll Broome received its 1710903711 assignment from the Centers for Medicare & Medicaid Services on 2006-07-14.
As of what date were the details pertaining to William Carroll Broome last refreshed?
The information related to the William Carroll Broome, including its address, specialty, and other relevant details, was last updated on 2007-07-08.