Paul K Mayberry is a Dentist in Ridgecrest, California. Paul K Mayberry practices all healthcare services and medical treatments related to Dentist. The NPI Number for Paul K Mayberry is 1063585222. The last update date is 2007-07-08.
Paul K Mayberry's current location address is 501 W Joyner Ave, Ridgecrest, California. You can contact this provider via phone number 7604462800 and fax number 7604462806. The mailing address for Paul K Mayberry is 501 W Joyner Ave, Ridgecrest, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul K Mayberry |
|---|---|
| Address | 501 W Joyner Ave, Ridgecrest, California |
| Phone Number | 7604462800 |
| Fax Number | 7604462806 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1063585222 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 501 W Joyner Ave |
|---|---|
| City | Ridgecrest |
| State | California (CA) |
| Post Code | 93555 |
| Phone Number | 7604462800 |
| Fax Number | 7604462806 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 24912 |
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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 10-digit identification code issued to Paul K Mayberry by the Centers for Medicare & Medicaid Services?
The Paul K Mayberry has been assigned the NPI (National Provider Identifier) 1063585222 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Paul K Mayberry's facilities are geographically located?
The facilities of Paul K Mayberry are physically situated at the following location: 501 W Joyner Ave, Ridgecrest, CA, 93555.
What is the Paul K Mayberry's area of specialization and corresponding taxonomy classification?
The Paul K Mayberry's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Paul K Mayberry receive the assignment of its 1063585222 from the Centers for Medicare & Medicaid Services?
The Paul K Mayberry was issued its 1063585222 by the Centers for Medicare & Medicaid Services on 2006-11-16.
As of what date was the information regarding Paul K Mayberry, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Paul K Mayberry, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.