Sean Michael Healy in College Station - Oral And Maxillofacial Surgery

Sean Michael Healy - NPI 1902979198

Sean Michael Healy is a Oral And Maxillofacial Surgery in College Station, Texas. Sean Michael Healy practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Sean Michael Healy is 1902979198. The last update date is 2022-07-21.

Sean Michael Healy's current location address is 1505 Emerald Plaza, College Station, Texas. You can contact this provider via phone number 9797647101 and fax number 9797647115. The mailing address for Sean Michael Healy is 1505 Emerald Plaza, College Station, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Sean Michael Healy
Address 1505 Emerald Plaza, College Station, Texas
Phone Number 9797647101
Fax Number 9797647115
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1902979198
Provider Enumeration Date 2006-11-16
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 1505 Emerald Plaza
City College Station
State Texas (TX)
Post Code 778451501
Phone Number 9797647101
Fax Number 9797647115

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 19743
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
813315 TX UNITED CONCORDIA

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FAQs about Sean Michael Healy

What is the unique 10-digit identifier code issued to Sean Michael Healy by the Centers for Medicare & Medicaid Services?

The Sean Michael Healy has been assigned the NPI (National Provider Identifier) 1902979198 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Sean Michael Healy's facilities are geographically located?

The facilities of Sean Michael Healy are physically situated at the following location: 1505 Emerald Plaza, College Station, TX, 778451501.

What is Sean Michael Healy's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Sean Michael Healy is Oral And Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 1223S0112X.

On what date did the Sean Michael Healy receive the assignment of its 1902979198 from the Centers for Medicare & Medicaid Services?

The Sean Michael Healy was issued its 1902979198 by the Centers for Medicare & Medicaid Services on 2006-11-16.

As of what date were the Sean Michael Healy's details last updated?

The information pertaining to the Sean Michael Healy, including its address, specialty, and other details, was most recently updated on 2022-07-21.

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