Taras Josaphat Konrad in Twentynine Palms - Dentist
Taras Josaphat Konrad - NPI 1316930738
Taras Josaphat Konrad is a Dentist in Twentynine Palms, California. Taras Josaphat Konrad practices all healthcare services and medical treatments related to Dentist. The NPI Number for Taras Josaphat Konrad is 1316930738. The last update date is 2020-11-20.
Taras Josaphat Konrad's current location address is Mcagctc , 23rd Dental, Twentynine Palms, California. You can contact this provider via phone number 7608307054. The mailing address for Taras Josaphat Konrad is Mcagctc , 23rd Dental, Twentynine Palms, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Taras Josaphat Konrad |
|---|---|
| Address | Mcagctc , 23rd Dental, Twentynine Palms, California |
| Phone Number | 7608307054 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1316930738 |
|---|---|
| Provider Enumeration Date | 2005-08-31 |
| Last Updated Date | 2020-11-20 |
Provider Mailing Address Detail
| Address | Mcagctc , 23rd Dental |
|---|---|
| City | Twentynine Palms |
| State | California (CA) |
| Post Code | 92278 |
| Phone Number | 7608307054 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS031194L |
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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 provider identifier assigned to Taras Josaphat Konrad?
The Taras Josaphat Konrad has been issued the NPI (National Provider Identifier) 1316930738 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Taras Josaphat Konrad?
The Taras Josaphat Konrad is situated at Mcagctc , 23Rd Dental, in the city of Twentynine Palms, state of CA, with the zip code 92278.
What is Taras Josaphat Konrad's specialized field of practice, and what is the corresponding taxonomy classification code?
The Taras Josaphat Konrad's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
When was the Taras Josaphat Konrad's 1316930738 issued?
The Taras Josaphat Konrad's 1316930738 was issued on 2005-08-31.
When was the information regarding Taras Josaphat Konrad, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Taras Josaphat Konrad, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-11-20.