Crossroads Pediatric Dentistry Pc in Goshen - Dental
Crossroads Pediatric Dentistry Pc - NPI 1043319619
Crossroads Pediatric Dentistry Pc is a Dental in Goshen, Indiana. Crossroads Pediatric Dentistry Pc practices all healthcare services and medical treatments related to Dental. The NPI Number for Crossroads Pediatric Dentistry Pc is 1043319619. The last update date is 2013-02-07.
Crossroads Pediatric Dentistry Pc's current location address is 21781 Omega Ct, Goshen, Indiana. You can contact this provider via phone number 5748756531 and fax number 5748758256. The mailing address for Crossroads Pediatric Dentistry Pc is 21781 Omega Ct, Goshen, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crossroads Pediatric Dentistry Pc |
|---|---|
| Address | 21781 Omega Ct, Goshen, Indiana |
| Phone Number | 5748756531 |
| Fax Number | 5748758256 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bigler F Michael |
| Credentials | DDS |
| Telephone Number | 5748756531 |
NPI Number Detail
| NPI Number | 1043319619 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2013-02-07 |
Provider Mailing Address Detail
| Address | 21781 Omega Ct |
|---|---|
| City | Goshen |
| State | Indiana (IN) |
| Post Code | 465287809 |
| Phone Number | 5748756531 |
| Fax Number | 5748758256 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 12007759 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100065260 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Crossroads Pediatric Dentistry Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Crossroads Pediatric Dentistry Pc has been assigned the NPI (National Provider Identifier) 1043319619. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Crossroads Pediatric Dentistry Pc is physically located?
The Crossroads Pediatric Dentistry Pc is physically situated at the following address: 21781 Omega Ct, Goshen, IN, 465287809.
What is Crossroads Pediatric Dentistry Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Crossroads Pediatric Dentistry Pc's specialized field of practice is Dental, and the corresponding taxonomy code that categorizes this area of specialization is 261Qd0000X.
On what date did the Crossroads Pediatric Dentistry Pc receive its 1043319619 assignment from the Centers for Medicare & Medicaid Services?
The Crossroads Pediatric Dentistry Pc was assigned its 1043319619 by the Centers for Medicare & Medicaid Services on 2006-09-21.
As of what date was the information pertaining to Crossroads Pediatric Dentistry Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Crossroads Pediatric Dentistry Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-02-07.
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