Robert Jordan Berquist in Whiting - Dentist
Robert Jordan Berquist - NPI 1619187507
Robert Jordan Berquist is a Dentist in Whiting, Indiana. Robert Jordan Berquist practices all healthcare services and medical treatments related to Dentist. The NPI Number for Robert Jordan Berquist is 1619187507. The last update date is 2007-07-08.
Robert Jordan Berquist's current location address is 1444 119th St, Whiting, Indiana. You can contact this provider via phone number 2196591530 and fax number 2196591532. The mailing address for Robert Jordan Berquist is 1444 119th St, Whiting, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Jordan Berquist |
|---|---|
| Address | 1444 119th St, Whiting, Indiana |
| Phone Number | 2196591530 |
| Fax Number | 2196591532 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1619187507 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1444 119th St |
|---|---|
| City | Whiting |
| State | Indiana (IN) |
| Post Code | 463941760 |
| Phone Number | 2196591530 |
| Fax Number | 2196591532 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12009702A |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12009702A | IN | DENTAL LICENSE |
Post Comment/ Review Below
What is the Robert Jordan Berquist's unique identification number?
The Robert Jordan Berquist has been assigned the NPI (National Provider Identifier) Number 1619187507 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Robert Jordan Berquist's facilities are situated?
The facilities of Robert Jordan Berquist are physically located at the following address: 1444 119Th St, Whiting, IN, 463941760.
What is Robert Jordan Berquist's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Robert Jordan Berquist is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
When did Robert Jordan Berquist receive its 1619187507 assignment?
The Robert Jordan Berquist was assigned its 1619187507 on 2007-05-22, which is the date when this unique identifier was issued to the organization.
When was the information related to Robert Jordan Berquist most recently updated or refreshed?
The details pertaining to the Robert Jordan Berquist, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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