James Charles Broadfoot in Valdosta - Dentist
James Charles Broadfoot - NPI 1174704837
James Charles Broadfoot is a Dentist in Valdosta, Georgia. James Charles Broadfoot practices all healthcare services and medical treatments related to Dentist. The NPI Number for James Charles Broadfoot is 1174704837. The last update date is 2007-11-21.
James Charles Broadfoot's current location address is 414 Pendleton Pl, Valdosta, Georgia. You can contact this provider via phone number 2292443700 and fax number 2292470373. The mailing address for James Charles Broadfoot is 414 Pendleton Pl, Valdosta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Charles Broadfoot |
|---|---|
| Address | 414 Pendleton Pl, Valdosta, Georgia |
| Phone Number | 2292443700 |
| Fax Number | 2292470373 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1174704837 |
|---|---|
| Provider Enumeration Date | 2007-11-21 |
| Last Updated Date | 2007-11-21 |
Provider Mailing Address Detail
| Address | 414 Pendleton Pl |
|---|---|
| City | Valdosta |
| State | Georgia (GA) |
| Post Code | 316022603 |
| Phone Number | 2292443700 |
| Fax Number | 2292470373 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN013666 |
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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 identifier code assigned to James Charles Broadfoot by the Centers for Medicare & Medicaid Services?
The James Charles Broadfoot has been issued the NPI (National Provider Identifier) 1174704837 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where James Charles Broadfoot is physically located?
The James Charles Broadfoot is situated at the following address: 414 Pendleton Pl, Valdosta, GA 316022603.
What is the James Charles Broadfoot's area of specialization and corresponding taxonomy classification?
The James Charles Broadfoot's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174704837 to James Charles Broadfoot?
The Centers for Medicare & Medicaid Services originally issued the 1174704837 to James Charles Broadfoot on 2007-11-21.
When was the information regarding James Charles Broadfoot most recently updated?
The details pertaining to the James Charles Broadfoot, including its address, specialty, and other relevant information, were last refreshed on 2007-11-21.
NPI Number: 1235130048
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