Branch Dental Clinic New River in Camp Lejeune - Dental
Branch Dental Clinic New River - NPI 1407042815
Branch Dental Clinic New River is a Dental in Camp Lejeune, North Carolina. Branch Dental Clinic New River practices all healthcare services and medical treatments related to Dental. The NPI Number for Branch Dental Clinic New River is 1407042815. The last update date is 2017-12-20.
Branch Dental Clinic New River's current location address is 100 Brewster Blvd, Camp Lejeune, North Carolina. You can contact this provider via phone number 9104504159 and fax number 9104504194. The mailing address for Branch Dental Clinic New River is 100 Brewster Blvd, Camp Lejeune, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Branch Dental Clinic New River |
|---|---|
| Address | 100 Brewster Blvd, Camp Lejeune, North Carolina |
| Phone Number | 9104504159 |
| Fax Number | 9104504194 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NAVY MEDIC |
|---|---|
| Authorized Official Name | Condon Michael William |
| Telephone Number | 2404013643 |
NPI Number Detail
| NPI Number | 1407042815 |
|---|---|
| Provider Enumeration Date | 2007-09-19 |
| Last Updated Date | 2017-12-20 |
Provider Mailing Address Detail
| Address | 100 Brewster Blvd |
|---|---|
| City | Camp Lejeune |
| State | North Carolina (NC) |
| Post Code | 285472538 |
| Phone Number | 9104504159 |
| Fax Number | 9104504194 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
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Definition: Provides general and specialized dental care and oral surgery. |
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What is the unique 10-digit identifier code issued to Branch Dental Clinic New River by the Centers for Medicare & Medicaid Services?
The Branch Dental Clinic New River has been assigned the NPI (National Provider Identifier) 1407042815 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Branch Dental Clinic New River?
The Branch Dental Clinic New River is physically situated at 100 Brewster Blvd, in the city of Camp Lejeune, state of NC, with the postal code 285472538.
What is Branch Dental Clinic New River's specialized field of practice, and what is the corresponding taxonomy classification code?
The Branch Dental Clinic New River's area of specialization is Dental, and the corresponding taxonomy code that categorizes this field of practice is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407042815 to Branch Dental Clinic New River?
The Branch Dental Clinic New River received its 1407042815 assignment from the Centers for Medicare & Medicaid Services on 2007-09-19.
When was the Branch Dental Clinic New River's information last updated?
The Branch Dental Clinic New River's information was last updated on 2017-12-20.
NPI Number: 1235137506
Address: Po Box 720157, Mcallen, TX