Heather Judd in Lake Havasu City - Dentist

Heather Judd - NPI 1164527974

Heather Judd is a Dentist in Lake Havasu City, Arizona. Heather Judd practices all healthcare services and medical treatments related to Dentist. The NPI Number for Heather Judd is 1164527974. The last update date is 2007-07-08.

Heather Judd's current location address is 3015 Daytona Ave, Lake Havasu City, Arizona. You can contact this provider via phone number 9288558373. The mailing address for Heather Judd is 3015 Daytona Ave, Lake Havasu City, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Heather Judd
Address 3015 Daytona Ave, Lake Havasu City, Arizona
Phone Number 9288558373
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1164527974
Provider Enumeration Date 2006-09-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3015 Daytona Ave
City Lake Havasu City
State Arizona (AZ)
Post Code 864035445
Phone Number 9288558373
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 4196-015
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
918344 AZ --

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FAQs about Heather Judd

What is the unique identification code assigned to Heather Judd by the Centers for Medicare & Medicaid Services?

The Heather Judd has been issued the NPI (National Provider Identifier) 1164527974. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Heather Judd is physically located?

The Heather Judd is physically situated at the following address: 3015 Daytona Ave, Lake Havasu City, AZ, 864035445.

What is Heather Judd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Heather Judd is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1164527974 to Heather Judd?

The Centers for Medicare & Medicaid Services assigned the 1164527974 to Heather Judd on 2006-09-14.

When was the information regarding Heather Judd, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Heather Judd, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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