Julie A Vavruska is a Dentist in Sumterville, Florida. Julie A Vavruska practices all healthcare services and medical treatments related to Dentist. The NPI Number for Julie A Vavruska is 1992798649. The last update date is 2007-08-09.
Julie A Vavruska's current location address is 1425 S Us Highway 301, Sumterville, Florida. You can contact this provider via phone number 3527935900 and fax number 3527936269. The mailing address for Julie A Vavruska is 1425 S Us Highway 301, Sumterville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Julie A Vavruska |
|---|---|
| Address | 1425 S Us Highway 301, Sumterville, Florida |
| Phone Number | 3527935900 |
| Fax Number | 3527936269 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1992798649 |
|---|---|
| Provider Enumeration Date | 2005-08-29 |
| Last Updated Date | 2007-08-09 |
Provider Mailing Address Detail
| Address | 1425 S Us Highway 301 |
|---|---|
| City | Sumterville |
| State | Florida (FL) |
| Post Code | 335855135 |
| Phone Number | 3527935900 |
| Fax Number | 3527936269 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN15250 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 57724300 | FL | MEDICAID FEE FOR SERVICE | |
| 29547796 | FL | MEDICAID DENTAL | |
| 29547700 | FL | MEDICAID FQHC | |
| 680013100 | LA | -- |
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What is the unique identifier code issued to Julie A Vavruska by the Centers for Medicare & Medicaid Services?
The Julie A Vavruska has been assigned the NPI (National Provider Identifier) 1992798649. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Julie A Vavruska?
The Julie A Vavruska is situated at 1425 S Us Highway 301, in the city of Sumterville, state of FL, with the zip code 335855135.
What is Julie A Vavruska's specialized field of practice, and what is the corresponding taxonomy classification code?
The Julie A Vavruska's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did Julie A Vavruska receive its 1992798649 assignment from the Centers for Medicare & Medicaid Services?
The Julie A Vavruska was assigned its 1992798649 on 2005-08-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Julie A Vavruska most recently updated?
The details pertaining to the Julie A Vavruska, including its address, specialty, and other relevant information, were last refreshed on 2007-08-09.
NPI Number: 1982607784
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