Organization Name: | CEDAR VIEW PEDIATRIC DENTISTRY |
NPI Number: | 1154573129 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TYLER ROBERT ALBRECHT (PEDIATRIC DENTIST) |
Mailing Address: | 1251 N. Northfield Rd. Ste 201 Cedar City |
State: | UT US |
Postal Code: | 84721 |
Phone Number: | 4355868188 |
Fax Number: | 4358671362 |
NPI Enumeration Date: | 10/21/2008 |
NPI Last Update Date: | 10/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |