John Pedersen D D S Inc in Los Angeles - Orthodontics And Dentofacial Orthopedics
John Pedersen D D S Inc - NPI 1811180995
John Pedersen D D S Inc is a Orthodontics And Dentofacial Orthopedics in Los Angeles, California. John Pedersen D D S Inc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for John Pedersen D D S Inc is 1811180995. The last update date is 2007-08-22.
John Pedersen D D S Inc's current location address is 12504 W Washington Blvd, Los Angeles, California. You can contact this provider via phone number 3103906272 and fax number 3103906674. The mailing address for John Pedersen D D S Inc is 12504 W Washington Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | John Pedersen D D S Inc |
|---|---|
| Address | 12504 W Washington Blvd, Los Angeles, California |
| Phone Number | 3103906272 |
| Fax Number | 3103906674 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Evans Lois |
| Telephone Number | 3103906272 |
NPI Number Detail
| NPI Number | 1811180995 |
|---|---|
| Provider Enumeration Date | 2007-08-22 |
| Last Updated Date | 2007-08-22 |
Provider Mailing Address Detail
| Address | 12504 W Washington Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900665506 |
| Phone Number | 3103906272 |
| Fax Number | 3103906674 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
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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 |
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Post Comment/ Review Below
What is the unique provider identifier assigned to John Pedersen D D S Inc?
The John Pedersen D D S Inc has been issued the NPI (National Provider Identifier) 1811180995 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where John Pedersen D D S Inc's facilities are situated?
The facilities of John Pedersen D D S Inc are physically located at the following address: 12504 W Washington Blvd, Los Angeles, CA, 900665506.
What is John Pedersen D D S Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John Pedersen D D S Inc is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1811180995 to John Pedersen D D S Inc?
The Centers for Medicare & Medicaid Services assigned the 1811180995 to John Pedersen D D S Inc on 2007-08-22.
As of what date were the John Pedersen D D S Inc's details last updated?
The information pertaining to the John Pedersen D D S Inc, including its address, specialty, and other details, was most recently updated on 2007-08-22.
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