NPI 1164410882 DR. CIELO CONSTANZA DOHERTY DDS SHIPROCK NM. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Cielo Constanza Doherty - NPI: 1164410882

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. CIELO CONSTANZA DOHERTY
NPI Number: 1164410882
Entity Type Code: Individual (1)
Gender: F
Credentials: DDS
License Number: 6891
Business Practice Address: Us Hwy 491 North
Shiprock, NM - 87420
Business Phone Number: 5053686401
Business Fax Number: 5053686431
Mailing Address: Po Box 160,
SHIPROCK
State: NM
Postal Code: 874200160
Phone Number: 5053686401
Fax Number: 5053686431
NPI Enumeration Date: 10/06/2005
NPI Last Update Date: 09/18/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1223P0221X
License Number: 6891
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CO
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.


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