Ted C Kawulok is a Dentist in Boulder, Colorado. Ted C Kawulok practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ted C Kawulok is 1245223593. The last update date is 2007-07-08.
Ted C Kawulok's current location address is 1400 28th St, Boulder, Colorado. You can contact this provider via phone number 3034428625. The mailing address for Ted C Kawulok is 1400 28th St, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ted C Kawulok |
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Address | 1400 28th St, Boulder, Colorado |
Phone Number | 3034428625 |
Fax Number | |
Sole Proprietor | N |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1245223593 |
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Provider Enumeration Date | 2005-08-23 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1400 28th St |
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City | Boulder |
State | Colorado (CO) |
Post Code | 803031096 |
Phone Number | 3034428625 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 5541 |
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 Ted C Kawulok's 1245223593?
The Ted C Kawulok's NPI (National Provider Identifier) Number is 1245223593. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Ted C Kawulok's physical address?
The Ted C Kawulok is physically located at 1400 28Th St, in the city of Boulder, CO, with the postal code 803031096.
What is the Ted C Kawulok's area of specialization and corresponding taxonomy classification?
The Ted C Kawulok'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 Ted C Kawulok receive the assignment of its 1245223593 from the Centers for Medicare & Medicaid Services?
The Ted C Kawulok was issued its 1245223593 by the Centers for Medicare & Medicaid Services on 2005-08-23.
As of what date were the details pertaining to Ted C Kawulok last refreshed?
The information related to the Ted C Kawulok, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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