Jeffrey Stephen Kirk in Santa Rosa - Dentist
Jeffrey Stephen Kirk - NPI 1134386436
Jeffrey Stephen Kirk is a Dentist in Santa Rosa, California. Jeffrey Stephen Kirk practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jeffrey Stephen Kirk is 1134386436. The last update date is 2012-01-20.
Jeffrey Stephen Kirk's current location address is 144 Stony Point Rd, Santa Rosa, California. You can contact this provider via phone number 7075214600 and fax number 7075214620. The mailing address for Jeffrey Stephen Kirk is 144 Stony Point Rd, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Stephen Kirk |
|---|---|
| Address | 144 Stony Point Rd, Santa Rosa, California |
| Phone Number | 7075214600 |
| Fax Number | 7075214620 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1134386436 |
|---|---|
| Provider Enumeration Date | 2008-05-22 |
| Last Updated Date | 2012-01-20 |
Provider Mailing Address Detail
| Address | 144 Stony Point Rd |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954014122 |
| Phone Number | 7075214600 |
| Fax Number | 7075214620 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 38545 |
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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 Jeffrey Stephen Kirk's 1134386436?
The Jeffrey Stephen Kirk's NPI (National Provider Identifier) Number is 1134386436. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jeffrey Stephen Kirk's facilities are situated?
The facilities of Jeffrey Stephen Kirk are physically located at the following address: 144 Stony Point Rd, Santa Rosa, CA, 954014122.
What is the Jeffrey Stephen Kirk's specialty and taxonomy code?
The Jeffrey Stephen Kirk's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did Jeffrey Stephen Kirk receive its 1134386436 assignment?
The Jeffrey Stephen Kirk was assigned its 1134386436 on 2008-05-22, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Jeffrey Stephen Kirk most recently updated or revised?
The information pertaining to Jeffrey Stephen Kirk, including its address, specialty, and other relevant details, was last updated or revised on 2012-01-20.