John David Blaisdell in Caldwell - Dentist
John David Blaisdell - NPI 1669557039
John David Blaisdell is a Dentist in Caldwell, Idaho. John David Blaisdell practices all healthcare services and medical treatments related to Dentist. The NPI Number for John David Blaisdell is 1669557039. The last update date is 2007-07-08.
John David Blaisdell's current location address is 1916 Ellis Ave, Caldwell, Idaho. You can contact this provider via phone number 2084592376. The mailing address for John David Blaisdell is 1916 Ellis Ave, Caldwell, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John David Blaisdell |
|---|---|
| Address | 1916 Ellis Ave, Caldwell, Idaho |
| Phone Number | 2084592376 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1669557039 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1916 Ellis Ave |
|---|---|
| City | Caldwell |
| State | Idaho (ID) |
| Post Code | 836054811 |
| Phone Number | 2084592376 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D-1741 |
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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 John David Blaisdell by the Centers for Medicare & Medicaid Services?
The John David Blaisdell has been assigned the NPI (National Provider Identifier) 1669557039. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where John David Blaisdell is physically located?
The John David Blaisdell is situated at the following address: 1916 Ellis Ave, Caldwell, ID 836054811.
What is John David Blaisdell's area of expertise and its corresponding taxonomy classification?
The John David Blaisdell's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the John David Blaisdell receive the assignment of its 1669557039 from the Centers for Medicare & Medicaid Services?
The John David Blaisdell was issued its 1669557039 by the Centers for Medicare & Medicaid Services on 2006-10-26.
When was the information regarding John David Blaisdell most recently updated?
The details pertaining to the John David Blaisdell, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.