Alexander Mazratian in Beaumont - Periodontics
Alexander Mazratian - NPI 1578576435
Alexander Mazratian is a Periodontics in Beaumont, Texas. Alexander Mazratian practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Alexander Mazratian is 1578576435. The last update date is 2022-07-21.
Alexander Mazratian's current location address is 1110 Longfellow Dr, Beaumont, Texas. You can contact this provider via phone number 4098982068. The mailing address for Alexander Mazratian is 1110 Longfellow Dr, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alexander Mazratian |
|---|---|
| Address | 1110 Longfellow Dr, Beaumont, Texas |
| Phone Number | 4098982068 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1578576435 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1110 Longfellow Dr |
|---|---|
| City | Beaumont |
| State | Texas (TX) |
| Post Code | 777064820 |
| Phone Number | 4098982068 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 17151 |
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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 |
|---|---|---|---|
| 7762001 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Alexander Mazratian by the Centers for Medicare & Medicaid Services?
The Alexander Mazratian has been assigned the NPI (National Provider Identifier) 1578576435 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Alexander Mazratian's facilities are situated?
The facilities of Alexander Mazratian are physically located at the following address: 1110 Longfellow Dr, Beaumont, TX, 777064820.
What is Alexander Mazratian'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 Alexander Mazratian is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
On what date did the Alexander Mazratian receive the assignment of its 1578576435 from the Centers for Medicare & Medicaid Services?
The Alexander Mazratian was issued its 1578576435 by the Centers for Medicare & Medicaid Services on 2006-08-14.
When was the information related to Alexander Mazratian most recently updated or refreshed?
The details pertaining to the Alexander Mazratian, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.