Douglas E Cleveland in Jefferson - Dentist

Douglas E Cleveland - NPI 1538254008

Douglas E Cleveland is a Dentist in Jefferson, Georgia. Douglas E Cleveland practices all healthcare services and medical treatments related to Dentist. The NPI Number for Douglas E Cleveland is 1538254008. The last update date is 2007-07-09.

Douglas E Cleveland's current location address is 411 Athens Street, Jefferson, Georgia. You can contact this provider via phone number 7063679861 and fax number 7063674083. The mailing address for Douglas E Cleveland is 411 Athens Street, Jefferson, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas E Cleveland
Address 411 Athens Street, Jefferson, Georgia
Phone Number 7063679861
Fax Number 7063674083
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1538254008
Provider Enumeration Date 2006-10-03
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 411 Athens Street
City Jefferson
State Georgia (GA)
Post Code 30549
Phone Number 7063679861
Fax Number 7063674083

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 8482
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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FAQs about Douglas E Cleveland

What is the unique provider identifier assigned to Douglas E Cleveland?

The Douglas E Cleveland has been issued the NPI (National Provider Identifier) 1538254008 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Douglas E Cleveland's facilities are situated?

The facilities of Douglas E Cleveland are physically located at the following address: 411 Athens Street, Jefferson, GA, 30549.

What is Douglas E Cleveland's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Douglas E Cleveland is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date did Douglas E Cleveland receive its 1538254008 assignment from the Centers for Medicare & Medicaid Services?

The Douglas E Cleveland was assigned its 1538254008 on 2006-10-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Douglas E Cleveland last refreshed?

The information related to the Douglas E Cleveland, including its address, specialty, and other relevant details, was last updated on 2007-07-09.

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