Rickey Brent Douglas in Van Buren - Dentist
Rickey Brent Douglas - NPI 1134174428
Rickey Brent Douglas is a Dentist in Van Buren, Arkansas. Rickey Brent Douglas practices all healthcare services and medical treatments related to Dentist. The NPI Number for Rickey Brent Douglas is 1134174428. The last update date is 2007-07-08.
Rickey Brent Douglas's current location address is 1607 Main St, Van Buren, Arkansas. You can contact this provider via phone number 4794747076 and fax number 4794711868. The mailing address for Rickey Brent Douglas is 1607 Main St, Van Buren, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rickey Brent Douglas |
|---|---|
| Address | 1607 Main St, Van Buren, Arkansas |
| Phone Number | 4794747076 |
| Fax Number | 4794711868 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1134174428 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1607 Main St |
|---|---|
| City | Van Buren |
| State | Arkansas (AR) |
| Post Code | 729564735 |
| Phone Number | 4794747076 |
| Fax Number | 4794711868 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2272 |
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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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What is the Rickey Brent Douglas's unique identification number?
The Rickey Brent Douglas has been assigned the NPI (National Provider Identifier) Number 1134174428 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Rickey Brent Douglas?
The Rickey Brent Douglas is situated at 1607 Main St, in the city of Van Buren, state of AR, with the zip code 729564735.
What is Rickey Brent Douglas's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Rickey Brent Douglas is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date was the 1134174428 assigned to Rickey Brent Douglas?
The Rickey Brent Douglas was issued its 1134174428 on 2006-05-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Rickey Brent Douglas most recently updated or revised?
The information pertaining to Rickey Brent Douglas, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.