Joseph W Brookreson in Martinsburg - Dentist
Joseph W Brookreson - NPI 1376653428
Joseph W Brookreson is a Dentist in Martinsburg, . Joseph W Brookreson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Joseph W Brookreson is 1376653428. The last update date is 2007-07-08.
Joseph W Brookreson's current location address is 1003 Sushruta Dr, Martinsburg, . You can contact this provider via phone number 3042633367 and fax number 3042631634. The mailing address for Joseph W Brookreson is 1003 Sushruta Dr, Martinsburg, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph W Brookreson |
|---|---|
| Address | 1003 Sushruta Dr, Martinsburg, |
| Phone Number | 3042633367 |
| Fax Number | 3042631634 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1376653428 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1003 Sushruta Dr |
|---|---|
| City | Martinsburg |
| State | (WV) |
| Post Code | 25401 |
| Phone Number | 3042633367 |
| Fax Number | 3042631634 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2434 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 138410 | WV | UNITED CONCORDIA | |
| 136323000 | WV | -- | |
| 140435 | VA | ANTHEM BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Joseph W Brookreson by the Centers for Medicare & Medicaid Services?
The Joseph W Brookreson has been issued the NPI (National Provider Identifier) 1376653428 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Joseph W Brookreson's facilities are geographically located?
The facilities of Joseph W Brookreson are physically situated at the following location: 1003 Sushruta Dr, Martinsburg, WV, 25401.
What is Joseph W Brookreson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Joseph W Brookreson's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
When did Joseph W Brookreson receive its 1376653428 assignment?
The Joseph W Brookreson was assigned its 1376653428 on 2006-08-30, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Joseph W Brookreson last refreshed?
The information related to the Joseph W Brookreson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC