Mobile Dental Program in New Orleans - Dental
Mobile Dental Program - NPI 1578736690
Mobile Dental Program is a Dental in New Orleans, Louisiana. Mobile Dental Program practices all healthcare services and medical treatments related to Dental. The NPI Number for Mobile Dental Program is 1578736690. The last update date is 2008-04-09.
Mobile Dental Program's current location address is 1300 Perdido St, New Orleans, Louisiana. You can contact this provider via phone number 5046582584. The mailing address for Mobile Dental Program is 1300 Perdido St, New Orleans, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mobile Dental Program |
|---|---|
| Address | 1300 Perdido St, New Orleans, Louisiana |
| Phone Number | 5046582584 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ACCOUNTANT |
|---|---|
| Authorized Official Name | Thompson Tillage Germaine |
| Telephone Number | 5046582501 |
NPI Number Detail
| NPI Number | 1578736690 |
|---|---|
| Provider Enumeration Date | 2008-04-09 |
| Last Updated Date | 2008-04-09 |
Provider Mailing Address Detail
| Address | 1300 Perdido St |
|---|---|
| City | New Orleans |
| State | Louisiana (LA) |
| Post Code | 701122125 |
| Phone Number | 5046582584 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1880051 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mobile Dental Program by the Centers for Medicare & Medicaid Services (CMS)?
The Mobile Dental Program has been assigned the NPI (National Provider Identifier) 1578736690. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Mobile Dental Program is geographically located?
The Mobile Dental Program is physically situated at the following location: 1300 Perdido St, New Orleans, LA, 701122125.
What is Mobile Dental Program's area of expertise and its corresponding taxonomy classification?
The Mobile Dental Program's field of specialization is Dental, and it falls under the taxonomy code 261Qd0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1578736690 to Mobile Dental Program?
The Centers for Medicare & Medicaid Services assigned the 1578736690 to Mobile Dental Program on 2008-04-09.
As of what date were the details related to Mobile Dental Program most recently updated or revised?
The information pertaining to Mobile Dental Program, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-09.