Alex R Vanacker in Penrose - Dentist

Alex R Vanacker - NPI 1083723118

Alex R Vanacker is a Dentist in Penrose, Colorado. Alex R Vanacker practices all healthcare services and medical treatments related to Dentist. The NPI Number for Alex R Vanacker is 1083723118. The last update date is 2007-07-08.

Alex R Vanacker's current location address is Po Box 318, Penrose, Colorado. You can contact this provider via phone number 7193723041 and fax number 7193720163. The mailing address for Alex R Vanacker is Po Box 318, Penrose, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Alex R Vanacker
Address Po Box 318, Penrose, Colorado
Phone Number 7193723041
Fax Number 7193720163
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1083723118
Provider Enumeration Date 2006-08-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 318
City Penrose
State Colorado (CO)
Post Code 812400318
Phone Number 7193723041
Fax Number 7193720163

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No COLO105937
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
89152 UNITED CONCORDIA
2105930 CO --

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FAQs about Alex R Vanacker

What is the unique identifier code issued to Alex R Vanacker by the Centers for Medicare & Medicaid Services (CMS)?

The Alex R Vanacker has been assigned the NPI (National Provider Identifier) 1083723118. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Alex R Vanacker is physically located?

The Alex R Vanacker is situated at the following address: Po Box 318, Penrose, CO 812400318.

What is the Alex R Vanacker's specialty and taxonomy code?

The Alex R Vanacker's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did Alex R Vanacker receive its 1083723118 assignment from the Centers for Medicare & Medicaid Services?

The Alex R Vanacker was assigned its 1083723118 on 2006-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Alex R Vanacker, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Alex R Vanacker, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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