Erich Phelps Heitman in Ft Gordon - Dentist
Erich Phelps Heitman - NPI 1699753608
Erich Phelps Heitman is a Dentist in Ft Gordon, Georgia. Erich Phelps Heitman practices all healthcare services and medical treatments related to Dentist. The NPI Number for Erich Phelps Heitman is 1699753608. The last update date is 2007-07-08.
Erich Phelps Heitman's current location address is Bldg 38717, 38th Street, Ft Gordon, Georgia. You can contact this provider via phone number 7067876927 and fax number 7067872082. The mailing address for Erich Phelps Heitman is Bldg 38717, 38th Street, Ft Gordon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Erich Phelps Heitman |
|---|---|
| Address | Bldg 38717, 38th Street, Ft Gordon, Georgia |
| Phone Number | 7067876927 |
| Fax Number | 7067872082 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1699753608 |
|---|---|
| Provider Enumeration Date | 2006-01-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Bldg 38717, 38th Street |
|---|---|
| City | Ft Gordon |
| State | Georgia (GA) |
| Post Code | 309055660 |
| Phone Number | 7067876927 |
| Fax Number | 7067872082 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 401410333 |
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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 identifier code issued to Erich Phelps Heitman by the Centers for Medicare & Medicaid Services (CMS)?
The Erich Phelps Heitman has been assigned the NPI (National Provider Identifier) 1699753608. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Erich Phelps Heitman?
The Erich Phelps Heitman is situated at Bldg 38717, 38Th Street, in the city of Ft Gordon, state of GA, with the zip code 309055660.
What is Erich Phelps Heitman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Erich Phelps Heitman is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date was the 1699753608 assigned to Erich Phelps Heitman?
The Erich Phelps Heitman was issued its 1699753608 on 2006-01-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Erich Phelps Heitman last refreshed?
The information related to the Erich Phelps Heitman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.