Theodore L Deal in Kendallville - Dentist

Theodore L Deal - NPI 1841307139

Theodore L Deal is a Dentist in Kendallville, Indiana. Theodore L Deal practices all healthcare services and medical treatments related to Dentist. The NPI Number for Theodore L Deal is 1841307139. The last update date is 2007-07-08.

Theodore L Deal's current location address is 225 Fairview Blvd, Kendallville, Indiana. You can contact this provider via phone number 2603472251 and fax number 2603472261. The mailing address for Theodore L Deal is 225 Fairview Blvd, Kendallville, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Theodore L Deal
Address 225 Fairview Blvd, Kendallville, Indiana
Phone Number 2603472251
Fax Number 2603472261
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1841307139
Provider Enumeration Date 2006-08-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 225 Fairview Blvd
City Kendallville
State Indiana (IN)
Post Code 46755
Phone Number 2603472251
Fax Number 2603472261

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 12009443A
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 Theodore L Deal

What is the Theodore L Deal's 1841307139?

The Theodore L Deal's NPI (National Provider Identifier) Number is 1841307139. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Theodore L Deal is physically located?

The Theodore L Deal is situated at the following address: 225 Fairview Blvd, Kendallville, IN 46755.

What is Theodore L Deal's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Theodore L Deal is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1841307139 to Theodore L Deal?

The Centers for Medicare & Medicaid Services assigned the 1841307139 to Theodore L Deal on 2006-08-24.

As of what date were the Theodore L Deal's details last updated?

The information pertaining to the Theodore L Deal, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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