Charles Randall Moritz in Valdosta - Dentist
Charles Randall Moritz - NPI 1306854237
Charles Randall Moritz is a Dentist in Valdosta, Georgia. Charles Randall Moritz practices all healthcare services and medical treatments related to Dentist. The NPI Number for Charles Randall Moritz is 1306854237. The last update date is 2007-07-08.
Charles Randall Moritz's current location address is 2704 N Oak St, Valdosta, Georgia. You can contact this provider via phone number 2292470200 and fax number 2292470200. The mailing address for Charles Randall Moritz is 2704 N Oak St, Valdosta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Randall Moritz |
|---|---|
| Address | 2704 N Oak St, Valdosta, Georgia |
| Phone Number | 2292470200 |
| Fax Number | 2292470200 |
| Sole Proprietor | N |
| Credentials | DDS PC |
NPI Number Detail
| NPI Number | 1306854237 |
|---|---|
| Provider Enumeration Date | 2006-08-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2704 N Oak St |
|---|---|
| City | Valdosta |
| State | Georgia (GA) |
| Post Code | 316021744 |
| Phone Number | 2292470200 |
| Fax Number | 2292470200 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 8063 |
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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 issued to Charles Randall Moritz by the Centers for Medicare & Medicaid Services?
The Charles Randall Moritz has been assigned the NPI (National Provider Identifier) 1306854237 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Charles Randall Moritz's facilities are situated?
The facilities of Charles Randall Moritz are physically located at the following address: 2704 N Oak St, Valdosta, GA, 316021744.
What is the Charles Randall Moritz's specialty and taxonomy code?
The Charles Randall Moritz's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306854237 to Charles Randall Moritz?
The Centers for Medicare & Medicaid Services originally issued the 1306854237 to Charles Randall Moritz on 2006-08-04.
As of what date were the details related to Charles Randall Moritz most recently updated or revised?
The information pertaining to Charles Randall Moritz, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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