Anthony Charles Derrick in Longwood - Dentist
Anthony Charles Derrick - NPI 1194764027
Anthony Charles Derrick is a Dentist in Longwood, Florida. Anthony Charles Derrick practices all healthcare services and medical treatments related to Dentist. The NPI Number for Anthony Charles Derrick is 1194764027. The last update date is 2009-04-09.
Anthony Charles Derrick's current location address is 2633 W State Road 434, Longwood, Florida. You can contact this provider via phone number 4077888400 and fax number 4076824659. The mailing address for Anthony Charles Derrick is 2633 W State Road 434, Longwood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Charles Derrick |
|---|---|
| Address | 2633 W State Road 434, Longwood, Florida |
| Phone Number | 4077888400 |
| Fax Number | 4076824659 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1194764027 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2009-04-09 |
Provider Mailing Address Detail
| Address | 2633 W State Road 434 |
|---|---|
| City | Longwood |
| State | Florida (FL) |
| Post Code | 327794878 |
| Phone Number | 4077888400 |
| Fax Number | 4076824659 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5472 |
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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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Post Comment/ Review Below
Could you provide the complete address where Anthony Charles Derrick is physically located?
The Anthony Charles Derrick is situated at the following address: 2633 W State Road 434, Longwood, FL 327794878.
On what date was the 1194764027 assigned to Anthony Charles Derrick?
The Anthony Charles Derrick was issued its 1194764027 on 2006-06-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Anthony Charles Derrick receive the assignment of its 1194764027 from the Centers for Medicare & Medicaid Services?
The Anthony Charles Derrick was issued its 1194764027 by the Centers for Medicare & Medicaid Services on 2006-06-06.
When was the information regarding Anthony Charles Derrick most recently updated?
The details pertaining to the Anthony Charles Derrick, including its address, specialty, and other relevant information, were last refreshed on 2009-04-09.
As of what date was the information pertaining to Anthony Charles Derrick, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Anthony Charles Derrick, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-04-09.