Icd Inc is a Dentist in Mountain Home, Arkansas. Icd Inc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Icd Inc is 1306060850. The last update date is 2008-06-19.
Icd Inc's current location address is 320 E 7th St, Mountain Home, Arkansas. You can contact this provider via phone number 8704251441 and fax number 8704251445. The mailing address for Icd Inc is 320 E 7th St, Mountain Home, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Icd Inc |
|---|---|
| Address | 320 E 7th St, Mountain Home, Arkansas |
| Phone Number | 8704251441 |
| Fax Number | 8704251445 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Deatley Matthew Irvin |
| Credentials | D.D.S. |
| Telephone Number | 8704251441 |
NPI Number Detail
| NPI Number | 1306060850 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2008-06-19 |
Provider Mailing Address Detail
| Address | 320 E 7th St |
|---|---|
| City | Mountain Home |
| State | Arkansas (AR) |
| Post Code | 726534416 |
| Phone Number | 8704251441 |
| Fax Number | 8704251445 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3573 |
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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 |
|---|---|---|---|
| 161452631 | AR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Icd Inc?
The Icd Inc has been issued the NPI (National Provider Identifier) 1306060850 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Icd Inc is located?
The Icd Inc is situated at the following address: 320 E 7Th St, Mountain Home, AR, 726534416.
What is Icd Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Icd Inc is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
When did the Icd Inc receive its 1306060850?
The Icd Inc was issued its 1306060850 on 2007-04-13, which is the date when the organization was assigned this unique identifier.
When was the information related to Icd Inc most recently updated or refreshed?
The details pertaining to the Icd Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-19.
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