Periodontal Specialists in St George - Periodontics
Periodontal Specialists - NPI 1750574810
Periodontal Specialists is a Periodontics in St George, Utah. Periodontal Specialists practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Periodontal Specialists is 1750574810. The last update date is 2007-08-22.
Periodontal Specialists's current location address is 754 S Main St Ste 7, St George, Utah. You can contact this provider via phone number 4356521605 and fax number 4356522046. The mailing address for Periodontal Specialists is 754 S Main St Ste 7, St George, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Periodontal Specialists |
|---|---|
| Address | 754 S Main St Ste 7, St George, Utah |
| Phone Number | 4356521605 |
| Fax Number | 4356522046 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PERIODONTI |
|---|---|
| Authorized Official Name | Bradshaw L Thomas |
| Credentials | DDS |
| Telephone Number | 4356521605 |
NPI Number Detail
| NPI Number | 1750574810 |
|---|---|
| Provider Enumeration Date | 2007-08-22 |
| Last Updated Date | 2007-08-22 |
Provider Mailing Address Detail
| Address | 754 S Main St Ste 7 |
|---|---|
| City | St George |
| State | Utah (UT) |
| Post Code | 847705517 |
| Phone Number | 4356521605 |
| Fax Number | 4356522046 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 275219 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Periodontal Specialists by the Centers for Medicare & Medicaid Services?
The Periodontal Specialists has been assigned the NPI (National Provider Identifier) 1750574810 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 address where Periodontal Specialists is geographically located?
The Periodontal Specialists is physically situated at the following location: 754 S Main St Ste 7, St George, UT, 847705517.
What is Periodontal Specialists's area of expertise and its corresponding taxonomy classification?
The Periodontal Specialists's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1750574810 to Periodontal Specialists?
The Centers for Medicare & Medicaid Services assigned the 1750574810 to Periodontal Specialists on 2007-08-22.
As of what date were the details related to Periodontal Specialists most recently updated or revised?
The information pertaining to Periodontal Specialists, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-22.