Ted C Kawulok in Boulder - Dentist

Ted C Kawulok - NPI 1245223593

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
Address 1400 28th St, Boulder, Colorado
Phone Number 3034428625
Fax Number
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1245223593
Provider Enumeration Date 2005-08-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1400 28th St
City Boulder
State Colorado (CO)
Post Code 803031096
Phone Number 3034428625
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
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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FAQs about Ted C Kawulok

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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