Mandie Shea Moon Dore in Coppell - Dental Hygienist
Mandie Shea Moon Dore - NPI 1235307828
Mandie Shea Moon Dore is a Dental Hygienist in Coppell, Texas. Mandie Shea Moon Dore practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Mandie Shea Moon Dore is 1235307828. The last update date is 2008-02-15.
Mandie Shea Moon Dore's current location address is 120 S Denton Tap Rd, Coppell, Texas. You can contact this provider via phone number 4696351105 and fax number 9723166029. The mailing address for Mandie Shea Moon Dore is 120 S Denton Tap Rd, Coppell, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mandie Shea Moon Dore |
|---|---|
| Address | 120 S Denton Tap Rd, Coppell, Texas |
| Phone Number | 4696351105 |
| Fax Number | 9723166029 |
| Sole Proprietor | N |
| Credentials | RDH,BS |
NPI Number Detail
| NPI Number | 1235307828 |
|---|---|
| Provider Enumeration Date | 2008-02-15 |
| Last Updated Date | 2008-02-15 |
Provider Mailing Address Detail
| Address | 120 S Denton Tap Rd |
|---|---|
| City | Coppell |
| State | Texas (TX) |
| Post Code | 750193297 |
| Phone Number | 4696351105 |
| Fax Number | 9723166029 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | 13777 |
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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 unique 10-digit identifier code issued to Mandie Shea Moon Dore by the Centers for Medicare & Medicaid Services?
The Mandie Shea Moon Dore has been assigned the NPI (National Provider Identifier) 1235307828 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mandie Shea Moon Dore is located?
The Mandie Shea Moon Dore is situated at the following address: 120 S Denton Tap Rd, Coppell, TX, 750193297.
What is Mandie Shea Moon Dore's area of expertise and its corresponding taxonomy classification?
The Mandie Shea Moon Dore's field of specialization is Dental Hygienist, and it falls under the taxonomy code 124Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1235307828 to Mandie Shea Moon Dore?
The Mandie Shea Moon Dore received its 1235307828 assignment from the Centers for Medicare & Medicaid Services on 2008-02-15.
As of what date were the details pertaining to Mandie Shea Moon Dore last refreshed?
The information related to the Mandie Shea Moon Dore, including its address, specialty, and other relevant details, was last updated on 2008-02-15.