Demitri Villarreal in Lackland Afb - Periodontics
Demitri Villarreal - NPI 1588865943
Demitri Villarreal is a Periodontics in Lackland Afb, Texas. Demitri Villarreal practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Demitri Villarreal is 1588865943. The last update date is 2018-04-30.
Demitri Villarreal's current location address is 2133 Pepperrell St, Lackland Afb, Texas. You can contact this provider via phone number 2102922558. The mailing address for Demitri Villarreal is 2133 Pepperrell St, Lackland Afb, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Demitri Villarreal |
|---|---|
| Address | 2133 Pepperrell St, Lackland Afb, Texas |
| Phone Number | 2102922558 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S.; M. |
NPI Number Detail
| NPI Number | 1588865943 |
|---|---|
| Provider Enumeration Date | 2007-05-31 |
| Last Updated Date | 2018-04-30 |
Provider Mailing Address Detail
| Address | 2133 Pepperrell St |
|---|---|
| City | Lackland Afb |
| State | Texas (TX) |
| Post Code | 782365313 |
| Phone Number | 2102922558 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 23464 |
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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 issued to Demitri Villarreal by the Centers for Medicare & Medicaid Services?
The Demitri Villarreal has been assigned the NPI (National Provider Identifier) 1588865943 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Demitri Villarreal is physically located?
The Demitri Villarreal is situated at the following address: 2133 Pepperrell St, Lackland Afb, TX 782365313.
What is Demitri Villarreal's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Demitri Villarreal is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
When was the Demitri Villarreal's 1588865943 issued?
The Demitri Villarreal's 1588865943 was issued on 2007-05-31.
As of what date were the details related to Demitri Villarreal most recently updated or revised?
The information pertaining to Demitri Villarreal, including its address, specialty, and other relevant details, was last updated or revised on 2018-04-30.