Steven Charles Maller in San Antonio - Periodontics

Steven Charles Maller - NPI 1760400022

Steven Charles Maller is a Periodontics in San Antonio, Texas. Steven Charles Maller practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Steven Charles Maller is 1760400022. The last update date is 2014-08-07.

Steven Charles Maller's current location address is 4501 Mccullough Ave, San Antonio, Texas. You can contact this provider via phone number 2108240111 and fax number 2108289103. The mailing address for Steven Charles Maller is 4501 Mccullough Ave, San Antonio, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Steven Charles Maller
Address 4501 Mccullough Ave, San Antonio, Texas
Phone Number 2108240111
Fax Number 2108289103
Sole Proprietor N
Credentials D.D.S., M.

NPI Number Detail

NPI Number 1760400022
Provider Enumeration Date 2006-07-17
Last Updated Date 2014-08-07

Provider Mailing Address Detail

Address 4501 Mccullough Ave
City San Antonio
State Texas (TX)
Post Code 782121660
Phone Number 2108240111
Fax Number 2108289103

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 5891
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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FAQs about Steven Charles Maller

What is the unique 10-digit identifier code assigned to Steven Charles Maller by the Centers for Medicare & Medicaid Services?

The Steven Charles Maller has been issued the NPI (National Provider Identifier) 1760400022 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Steven Charles Maller's facilities are geographically located?

The facilities of Steven Charles Maller are physically situated at the following location: 4501 Mccullough Ave, San Antonio, TX, 782121660.

What is the Steven Charles Maller's area of specialization and corresponding taxonomy classification?

The Steven Charles Maller's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.

On what date did Steven Charles Maller receive its 1760400022 assignment from the Centers for Medicare & Medicaid Services?

The Steven Charles Maller was assigned its 1760400022 on 2006-07-17, 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 regarding Steven Charles Maller, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Steven Charles Maller, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-08-07.

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