Island Orthodontics in Gulf Shores - Orthodontics And Dentofacial Orthopedics
Island Orthodontics - NPI 1992909600
Island Orthodontics is a Orthodontics And Dentofacial Orthopedics in Gulf Shores, Alabama. Island Orthodontics practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Island Orthodontics is 1992909600. The last update date is 2020-08-22.
Island Orthodontics's current location address is 241 Clubhouse Dr, Gulf Shores, Alabama. You can contact this provider via phone number 2519681310 and fax number 2519682036. The mailing address for Island Orthodontics is 241 Clubhouse Dr, Gulf Shores, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Island Orthodontics |
|---|---|
| Address | 241 Clubhouse Dr, Gulf Shores, Alabama |
| Phone Number | 2519681310 |
| Fax Number | 2519682036 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Dyken Allen Renee |
| Credentials | D.M.D., M. |
| Telephone Number | 2519681310 |
NPI Number Detail
| NPI Number | 1992909600 |
|---|---|
| Provider Enumeration Date | 2007-06-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 241 Clubhouse Dr |
|---|---|
| City | Gulf Shores |
| State | Alabama (AL) |
| Post Code | 365423415 |
| Phone Number | 2519681310 |
| Fax Number | 2519682036 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 4630 |
|
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Island Orthodontics?
The Island Orthodontics has been issued the NPI (National Provider Identifier) 1992909600 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Island Orthodontics located?
The Island Orthodontics is located at 241 Clubhouse Dr, Gulf Shores, AL 365423415.
What is the Island Orthodontics's specialty and taxonomy code?
The Island Orthodontics's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992909600 to Island Orthodontics?
The Centers for Medicare & Medicaid Services originally issued the 1992909600 to Island Orthodontics on 2007-06-14.
As of what date were the details related to Island Orthodontics most recently updated or revised?
The information pertaining to Island Orthodontics, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.