Ivan F Pacheco in Tuba City - Dentist

Ivan F Pacheco - NPI 1073553632

Ivan F Pacheco is a Dentist in Tuba City, Arizona. Ivan F Pacheco practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ivan F Pacheco is 1073553632. The last update date is 2009-03-31.

Ivan F Pacheco's current location address is Po Box 600, Tuba City, Arizona. You can contact this provider via phone number 9282832501 and fax number 9282832677. The mailing address for Ivan F Pacheco is Po Box 600, Tuba City, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Ivan F Pacheco
Address Po Box 600, Tuba City, Arizona
Phone Number 9282832501
Fax Number 9282832677
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1073553632
Provider Enumeration Date 2006-06-08
Last Updated Date 2009-03-31

Provider Mailing Address Detail

Address Po Box 600
City Tuba City
State Arizona (AZ)
Post Code 860450600
Phone Number 9282832501
Fax Number 9282832677

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No D6669
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
687709 AZ --

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FAQs about Ivan F Pacheco

What is the Ivan F Pacheco's unique identification number?

The Ivan F Pacheco has been assigned the NPI (National Provider Identifier) Number 1073553632 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Ivan F Pacheco located?

The Ivan F Pacheco is located at Po Box 600, Tuba City, AZ 860450600.

What is the area of specialization for Ivan F Pacheco, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Ivan F Pacheco is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.

When was the Ivan F Pacheco's 1073553632 issued?

The Ivan F Pacheco's 1073553632 was issued on 2006-06-08.

As of what date was the information pertaining to Ivan F Pacheco, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Ivan F Pacheco, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-03-31.

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