Kenneth J. Cavallari in Virginia Beach - Periodontics
Kenneth J. Cavallari - NPI 1033370598
Kenneth J. Cavallari is a Periodontics in Virginia Beach, Virginia. Kenneth J. Cavallari practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Kenneth J. Cavallari is 1033370598. The last update date is 2008-06-18.
Kenneth J. Cavallari's current location address is 984 First Colonial Rd Ste 108, Virginia Beach, Virginia. You can contact this provider via phone number 7574120235 and fax number 7574966695. The mailing address for Kenneth J. Cavallari is 984 First Colonial Rd Ste 108, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth J. Cavallari |
|---|---|
| Address | 984 First Colonial Rd Ste 108, Virginia Beach, Virginia |
| Phone Number | 7574120235 |
| Fax Number | 7574966695 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1033370598 |
|---|---|
| Provider Enumeration Date | 2008-06-18 |
| Last Updated Date | 2008-06-18 |
Provider Mailing Address Detail
| Address | 984 First Colonial Rd Ste 108 |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234543196 |
| Phone Number | 7574120235 |
| Fax Number | 7574966695 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 401007923 |
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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 identifier code issued to Kenneth J. Cavallari by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth J. Cavallari has been assigned the NPI (National Provider Identifier) 1033370598. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Kenneth J. Cavallari located?
The Kenneth J. Cavallari is located at 984 First Colonial Rd Ste 108, Virginia Beach, VA 234543196.
What is Kenneth J. Cavallari'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 Kenneth J. Cavallari is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
On what date did Kenneth J. Cavallari receive its 1033370598 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth J. Cavallari was assigned its 1033370598 on 2008-06-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kenneth J. Cavallari most recently updated or revised?
The details related to Kenneth J. Cavallari, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-18.
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