Kelly M Winchester Pova in Gilbert - Dental Hygienist
Kelly M Winchester Pova - NPI 1528192390
Kelly M Winchester Pova is a Dental Hygienist in Gilbert, Arizona. Kelly M Winchester Pova practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Kelly M Winchester Pova is 1528192390. The last update date is 2007-07-08.
Kelly M Winchester Pova's current location address is 2487 S Gilbert Rd Ste 105, Gilbert, Arizona. You can contact this provider via phone number 4807321888 and fax number 4807321890. The mailing address for Kelly M Winchester Pova is 2487 S Gilbert Rd Ste 105, Gilbert, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelly M Winchester Pova |
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Address | 2487 S Gilbert Rd Ste 105, Gilbert, Arizona |
Phone Number | 4807321888 |
Fax Number | 4807321890 |
Sole Proprietor | Y |
Credentials | RDH |
NPI Number Detail
NPI Number | 1528192390 |
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Provider Enumeration Date | 2007-03-15 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2487 S Gilbert Rd Ste 105 |
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City | Gilbert |
State | Arizona (AZ) |
Post Code | 852965802 |
Phone Number | 4807321888 |
Fax Number | 4807321890 |
Provider's Primary Taxonomy Detail
Speciality | Dental Hygienist |
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Taxonomy | 124Q00000X |
Licence No | 5228 |
Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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What is the Kelly M Winchester Pova's unique identification number?
The Kelly M Winchester Pova has been assigned the NPI (National Provider Identifier) Number 1528192390 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Kelly M Winchester Pova's facilities are geographically located?
The facilities of Kelly M Winchester Pova are physically situated at the following location: 2487 S Gilbert Rd Ste 105, Gilbert, AZ, 852965802.
What is Kelly M Winchester Pova's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kelly M Winchester Pova is Dental Hygienist, and the taxonomy classification code that categorizes this area of expertise is 124Q00000X.
On what date was the 1528192390 assigned to Kelly M Winchester Pova?
The Kelly M Winchester Pova was issued its 1528192390 on 2007-03-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Kelly M Winchester Pova's information last updated?
The Kelly M Winchester Pova's information was last updated on 2007-07-08.