Jelani Tenoa Washington in Conyers - Dentist
Jelani Tenoa Washington - NPI 1083698757
Jelani Tenoa Washington is a Dentist in Conyers, Georgia. Jelani Tenoa Washington practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jelani Tenoa Washington is 1083698757. The last update date is 2014-11-12.
Jelani Tenoa Washington's current location address is 976 East Freeway Drive, Conyers, Georgia. You can contact this provider via phone number 6154912127. The mailing address for Jelani Tenoa Washington is 976 East Freeway Drive, Conyers, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jelani Tenoa Washington |
|---|---|
| Address | 976 East Freeway Drive, Conyers, Georgia |
| Phone Number | 6154912127 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1083698757 |
|---|---|
| Provider Enumeration Date | 2005-12-06 |
| Last Updated Date | 2014-11-12 |
Provider Mailing Address Detail
| Address | 976 East Freeway Drive |
|---|---|
| City | Conyers |
| State | Georgia (GA) |
| Post Code | 30094 |
| Phone Number | 6154912127 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 8298 |
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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 identification code assigned to Jelani Tenoa Washington by the Centers for Medicare & Medicaid Services?
The Jelani Tenoa Washington has been issued the NPI (National Provider Identifier) 1083698757, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jelani Tenoa Washington is located?
The Jelani Tenoa Washington is situated at the following address: 976 East Freeway Drive, Conyers, GA, 30094.
What is Jelani Tenoa Washington's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jelani Tenoa Washington is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
When did the Jelani Tenoa Washington receive its 1083698757?
The Jelani Tenoa Washington was issued its 1083698757 on 2005-12-06, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Jelani Tenoa Washington last refreshed?
The information related to the Jelani Tenoa Washington, including its address, specialty, and other relevant details, was last updated on 2014-11-12.