John C. Slattery in Boise - Orthodontics And Dentofacial Orthopedics
John C. Slattery - NPI 1346344884
John C. Slattery is a Orthodontics And Dentofacial Orthopedics in Boise, Idaho. John C. Slattery practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for John C. Slattery is 1346344884. The last update date is 2007-07-09.
John C. Slattery's current location address is 600 E Riverpark Ln, Boise, Idaho. You can contact this provider via phone number 2084331122 and fax number 2084331125. The mailing address for John C. Slattery is 600 E Riverpark Ln, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John C. Slattery |
|---|---|
| Address | 600 E Riverpark Ln, Boise, Idaho |
| Phone Number | 2084331122 |
| Fax Number | 2084331125 |
| Sole Proprietor | Y |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1346344884 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 600 E Riverpark Ln |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837066551 |
| Phone Number | 2084331122 |
| Fax Number | 2084331125 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | D-3500-OR |
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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 10-digit identification code assigned to John C. Slattery by the Centers for Medicare & Medicaid Services?
The John C. Slattery has been issued the NPI (National Provider Identifier) 1346344884, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where John C. Slattery is located?
The John C. Slattery is situated at the following address: 600 E Riverpark Ln, Boise, ID, 837066551.
What is John C. Slattery's specialized field of practice, and what is the corresponding taxonomy classification code?
The John C. Slattery's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date did the John C. Slattery receive the assignment of its 1346344884 from the Centers for Medicare & Medicaid Services?
The John C. Slattery was issued its 1346344884 by the Centers for Medicare & Medicaid Services on 2006-09-12.
When was the information pertaining to John C. Slattery most recently updated or revised?
The details related to John C. Slattery, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.