Brent Miller Koudelka in Washington - Dentist

Brent Miller Koudelka - NPI 1871602805

Brent Miller Koudelka is a Dentist in Washington, District Of Columbia. Brent Miller Koudelka practices all healthcare services and medical treatments related to Dentist. The NPI Number for Brent Miller Koudelka is 1871602805. The last update date is 2007-07-08.

Brent Miller Koudelka's current location address is 6900 Georgia Ave Nw, Washington, District Of Columbia. You can contact this provider via phone number 2027826815 and fax number 2027826987. The mailing address for Brent Miller Koudelka is 6900 Georgia Ave Nw, Washington, District Of Columbia. To know further, please read the information below!

Provider Profile Detail

Provider Name Brent Miller Koudelka
Address 6900 Georgia Ave Nw, Washington, District Of Columbia
Phone Number 2027826815
Fax Number 2027826987
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1871602805
Provider Enumeration Date 2006-08-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6900 Georgia Ave Nw
City Washington
State District Of Columbia (DC)
Post Code 203075400
Phone Number 2027826815
Fax Number 2027826987

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 30013909
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 Brent Miller Koudelka

What is the Brent Miller Koudelka's 1871602805?

The Brent Miller Koudelka's NPI (National Provider Identifier) Number is 1871602805. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Brent Miller Koudelka's facilities are geographically located?

The facilities of Brent Miller Koudelka are physically situated at the following location: 6900 Georgia Ave Nw, Washington, DC, 203075400.

What is Brent Miller Koudelka's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Brent Miller Koudelka is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

When did Brent Miller Koudelka receive its 1871602805 assignment?

The Brent Miller Koudelka was assigned its 1871602805 on 2006-08-30, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Brent Miller Koudelka, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Brent Miller Koudelka, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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