Periodontic & Endodontic Services in Middletown - Dental

Periodontic & Endodontic Services - NPI 1609054584

Periodontic & Endodontic Services is a Dental in Middletown, Kentucky. Periodontic & Endodontic Services practices all healthcare services and medical treatments related to Dental. The NPI Number for Periodontic & Endodontic Services is 1609054584. The last update date is 2008-02-04.

Periodontic & Endodontic Services's current location address is 11708 Main St, Middletown, Kentucky. You can contact this provider via phone number 5024101702. The mailing address for Periodontic & Endodontic Services is 11708 Main St, Middletown, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Organization Periodontic & Endodontic Services
Address 11708 Main St, Middletown, Kentucky
Phone Number 5024101702
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position COO
Authorized Official Name James Steve
Telephone Number 5022548504

NPI Number Detail

NPI Number 1609054584
Provider Enumeration Date 2008-02-04
Last Updated Date 2008-02-04

Provider Mailing Address Detail

Address 11708 Main St
City Middletown
State Kentucky (KY)
Post Code 402431426
Phone Number 5024101702
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Definition:
Provides general and specialized dental care and oral surgery.

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FAQs about Periodontic & Endodontic Services

What is the unique identifier code issued to Periodontic & Endodontic Services by the Centers for Medicare & Medicaid Services (CMS)?

The Periodontic & Endodontic Services has been assigned the NPI (National Provider Identifier) 1609054584. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Periodontic & Endodontic Services is located?

The Periodontic & Endodontic Services is situated at the following address: 11708 Main St, Middletown, KY, 402431426.

What is Periodontic & Endodontic Services's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Periodontic & Endodontic Services is Dental, and the corresponding taxonomy classification code for this specialized field is 261Qd0000X.

On what date did the Periodontic & Endodontic Services receive its 1609054584 assignment from the Centers for Medicare & Medicaid Services?

The Periodontic & Endodontic Services was assigned its 1609054584 by the Centers for Medicare & Medicaid Services on 2008-02-04.

When was the Periodontic & Endodontic Services's information last updated?

The Periodontic & Endodontic Services's information was last updated on 2008-02-04.

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