Fort Theatre Dentistry in Kearney - Orthodontics And Dentofacial Orthopedics
Fort Theatre Dentistry - NPI 1568670537
Fort Theatre Dentistry is a Orthodontics And Dentofacial Orthopedics in Kearney, Nebraska. Fort Theatre Dentistry practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Fort Theatre Dentistry is 1568670537. The last update date is 2020-08-22.
Fort Theatre Dentistry's current location address is 2205 Central Ave, Kearney, Nebraska. You can contact this provider via phone number 3082375853 and fax number 3082375089. The mailing address for Fort Theatre Dentistry is 2205 Central Ave, Kearney, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fort Theatre Dentistry |
|---|---|
| Address | 2205 Central Ave, Kearney, Nebraska |
| Phone Number | 3082375853 |
| Fax Number | 3082375089 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Martin D Walter |
| Credentials | DMD |
| Telephone Number | 3082375853 |
NPI Number Detail
| NPI Number | 1568670537 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2205 Central Ave |
|---|---|
| City | Kearney |
| State | Nebraska (NE) |
| Post Code | 688475346 |
| Phone Number | 3082375853 |
| Fax Number | 3082375089 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100252764-00 | NE | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Fort Theatre Dentistry by the Centers for Medicare & Medicaid Services?
The Fort Theatre Dentistry has been assigned the NPI (National Provider Identifier) 1568670537. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Fort Theatre Dentistry is physically located?
The Fort Theatre Dentistry is physically situated at the following address: 2205 Central Ave, Kearney, NE, 688475346.
What is Fort Theatre Dentistry's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Fort Theatre Dentistry is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that classifies this field of practice is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568670537 to Fort Theatre Dentistry?
The Centers for Medicare & Medicaid Services originally issued the 1568670537 to Fort Theatre Dentistry on 2007-05-21.
When was the information regarding Fort Theatre Dentistry, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Fort Theatre Dentistry, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC