Robert Manning Mortensen in Eagle River - Dentist
Robert Manning Mortensen - NPI 1902863905
Robert Manning Mortensen is a Dentist in Eagle River, Alaska. Robert Manning Mortensen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Robert Manning Mortensen is 1902863905. The last update date is 2007-07-08.
Robert Manning Mortensen's current location address is 19633 Big Diomede Cir, Eagle River, Alaska. You can contact this provider via phone number 9076968776. The mailing address for Robert Manning Mortensen is 19633 Big Diomede Cir, Eagle River, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Manning Mortensen |
|---|---|
| Address | 19633 Big Diomede Cir, Eagle River, Alaska |
| Phone Number | 9076968776 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1902863905 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 19633 Big Diomede Cir |
|---|---|
| City | Eagle River |
| State | Alaska (AK) |
| Post Code | 995778797 |
| Phone Number | 9076968776 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 13666 |
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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 |
|---|---|---|---|
| 5614 | NE | DENTAL LISENCE | |
| 13666 | MO | DENTAL LISENCE | |
| 5510 | KS | DENTAL LISENCE |
Post Comment/ Review Below
What is the unique identifier code issued to Robert Manning Mortensen by the Centers for Medicare & Medicaid Services (CMS)?
The Robert Manning Mortensen has been assigned the NPI (National Provider Identifier) 1902863905. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Robert Manning Mortensen located?
The Robert Manning Mortensen is located at 19633 Big Diomede Cir, Eagle River, AK 995778797.
What is Robert Manning Mortensen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Robert Manning Mortensen's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
When was the Robert Manning Mortensen's 1902863905 issued?
The Robert Manning Mortensen's 1902863905 was issued on 2006-04-26.
When was the information regarding Robert Manning Mortensen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Robert Manning Mortensen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.