Roger Lee Wakeman in Crescent City - Dentist
Roger Lee Wakeman - NPI 1124167275
Roger Lee Wakeman is a Dentist in Crescent City, California. Roger Lee Wakeman practices all healthcare services and medical treatments related to Dentist. The NPI Number for Roger Lee Wakeman is 1124167275. The last update date is 2007-07-08.
Roger Lee Wakeman's current location address is 460 9th Street, Crescent City, California. You can contact this provider via phone number 7074645310. The mailing address for Roger Lee Wakeman is 460 9th Street, Crescent City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Lee Wakeman |
|---|---|
| Address | 460 9th Street, Crescent City, California |
| Phone Number | 7074645310 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1124167275 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 460 9th Street |
|---|---|
| City | Crescent City |
| State | California (CA) |
| Post Code | 95531 |
| Phone Number | 7074645310 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 20957 |
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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 unique identifier code issued to Roger Lee Wakeman by the Centers for Medicare & Medicaid Services?
The Roger Lee Wakeman has been assigned the NPI (National Provider Identifier) 1124167275. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Roger Lee Wakeman's facilities are situated?
The facilities of Roger Lee Wakeman are physically located at the following address: 460 9Th Street, Crescent City, CA, 95531.
What is Roger Lee Wakeman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Roger Lee Wakeman is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did Roger Lee Wakeman receive its 1124167275 assignment from the Centers for Medicare & Medicaid Services?
The Roger Lee Wakeman was assigned its 1124167275 on 2007-02-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Roger Lee Wakeman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Roger Lee Wakeman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.