Richard Dale Mckibben in Clearwater - Dentist
Richard Dale Mckibben - NPI 1154431583
Richard Dale Mckibben is a Dentist in Clearwater, Florida. Richard Dale Mckibben practices all healthcare services and medical treatments related to Dentist. The NPI Number for Richard Dale Mckibben is 1154431583. The last update date is 2007-07-08.
Richard Dale Mckibben's current location address is 1201 S Highland Ave, Clearwater, Florida. You can contact this provider via phone number 7274467332 and fax number 7274434328. The mailing address for Richard Dale Mckibben is 1201 S Highland Ave, Clearwater, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Dale Mckibben |
|---|---|
| Address | 1201 S Highland Ave, Clearwater, Florida |
| Phone Number | 7274467332 |
| Fax Number | 7274434328 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1154431583 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1201 S Highland Ave |
|---|---|
| City | Clearwater |
| State | Florida (FL) |
| Post Code | 33756 |
| Phone Number | 7274467332 |
| Fax Number | 7274434328 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | FL4878D |
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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 unique 10-digit identifier code issued to Richard Dale Mckibben by the Centers for Medicare & Medicaid Services?
The Richard Dale Mckibben has been assigned the NPI (National Provider Identifier) 1154431583 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Richard Dale Mckibben is physically located?
The Richard Dale Mckibben is situated at the following address: 1201 S Highland Ave, Clearwater, FL 33756.
What is Richard Dale Mckibben's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Richard Dale Mckibben is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1154431583 to Richard Dale Mckibben?
The Centers for Medicare & Medicaid Services originally issued the 1154431583 to Richard Dale Mckibben on 2006-08-30.
As of what date were the details related to Richard Dale Mckibben most recently updated or revised?
The information pertaining to Richard Dale Mckibben, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.