John M Iasella is a Periodontics in Yakima, Washington. John M Iasella practices all healthcare services and medical treatments related to Periodontics. The NPI Number for John M Iasella is 1871656850. The last update date is 2007-07-08.
John M Iasella's current location address is 410 S 12 Avenue, Yakima, Washington. You can contact this provider via phone number 5094527115 and fax number 5094528260. The mailing address for John M Iasella is 410 S 12 Avenue, Yakima, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John M Iasella |
|---|---|
| Address | 410 S 12 Avenue, Yakima, Washington |
| Phone Number | 5094527115 |
| Fax Number | 5094528260 |
| Sole Proprietor | N |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1871656850 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 410 S 12 Avenue |
|---|---|
| City | Yakima |
| State | Washington (WA) |
| Post Code | 98902 |
| Phone Number | 5094527115 |
| Fax Number | 5094528260 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DE00009364 |
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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 John M Iasella's unique identification number?
The John M Iasella has been assigned the NPI (National Provider Identifier) Number 1871656850 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where John M Iasella is physically located?
The John M Iasella is situated at the following address: 410 S 12 Avenue, Yakima, WA 98902.
What is John M Iasella's specialized field of practice, and what is the corresponding taxonomy classification code?
The John M Iasella's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
When was the John M Iasella's 1871656850 issued?
The John M Iasella's 1871656850 was issued on 2006-12-19.
As of what date were the John M Iasella's details last updated?
The information pertaining to the John M Iasella, including its address, specialty, and other details, was most recently updated on 2007-07-08.