Preventive Family Dental Pc in Burlington - Dental Hygienist

Preventive Family Dental Pc - NPI 1366527400

Preventive Family Dental Pc is a Dental Hygienist in Burlington, Colorado. Preventive Family Dental Pc practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Preventive Family Dental Pc is 1366527400. The last update date is 2020-08-22.

Preventive Family Dental Pc's current location address is Po Box 94, Burlington, Colorado. You can contact this provider via phone number 7193467746 and fax number 7193465360. The mailing address for Preventive Family Dental Pc is Po Box 94, Burlington, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization Preventive Family Dental Pc
Address Po Box 94, Burlington, Colorado
Phone Number 7193467746
Fax Number 7193465360
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Huddleston A Julie
Credentials RDH
Telephone Number 7193467746

NPI Number Detail

NPI Number 1366527400
Provider Enumeration Date 2006-10-26
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 94
City Burlington
State Colorado (CO)
Post Code 808070094
Phone Number 7193467746
Fax Number 7193465360

Provider's Primary Taxonomy Detail

Speciality Dental Hygienist
Taxonomy 124Q00000X
Licence No 2986
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
21420025 CO --
29686873 CO --

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FAQs about Preventive Family Dental Pc

What is the Preventive Family Dental Pc's 1366527400?

The Preventive Family Dental Pc's NPI (National Provider Identifier) Number is 1366527400. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Preventive Family Dental Pc located?

The Preventive Family Dental Pc is located at Po Box 94, Burlington, CO 808070094.

What is the Preventive Family Dental Pc's area of specialization and corresponding taxonomy classification?

The Preventive Family Dental Pc's specialty field is Dental Hygienist, and it falls under the taxonomy code 124Q00000X, which categorizes healthcare providers based on their specialties.

On what date did the Preventive Family Dental Pc receive the assignment of its 1366527400 from the Centers for Medicare & Medicaid Services?

The Preventive Family Dental Pc was issued its 1366527400 by the Centers for Medicare & Medicaid Services on 2006-10-26.

As of what date were the details pertaining to Preventive Family Dental Pc last refreshed?

The information related to the Preventive Family Dental Pc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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