Kenneth James Myrberg in Shenandoah - Dentist
Kenneth James Myrberg - NPI 1306926407
Kenneth James Myrberg is a Dentist in Shenandoah, Iowa. Kenneth James Myrberg practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kenneth James Myrberg is 1306926407. The last update date is 2007-07-08.
Kenneth James Myrberg's current location address is 1204 A W Sheridan Ave, Shenandoah, Iowa. You can contact this provider via phone number 7122462180 and fax number 7122461683. The mailing address for Kenneth James Myrberg is 1204 A W Sheridan Ave, Shenandoah, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth James Myrberg |
|---|---|
| Address | 1204 A W Sheridan Ave, Shenandoah, Iowa |
| Phone Number | 7122462180 |
| Fax Number | 7122461683 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1306926407 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1204 A W Sheridan Ave |
|---|---|
| City | Shenandoah |
| State | Iowa (IA) |
| Post Code | 516011554 |
| Phone Number | 7122462180 |
| Fax Number | 7122461683 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5587 |
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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 provider identifier assigned to Kenneth James Myrberg?
The Kenneth James Myrberg has been issued the NPI (National Provider Identifier) 1306926407 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Kenneth James Myrberg located?
The Kenneth James Myrberg is located at 1204 A W Sheridan Ave, Shenandoah, IA 516011554.
What is Kenneth James Myrberg's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth James Myrberg's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1306926407 to Kenneth James Myrberg?
The Centers for Medicare & Medicaid Services assigned the 1306926407 to Kenneth James Myrberg on 2006-10-16.
When was the Kenneth James Myrberg's information last updated?
The Kenneth James Myrberg's information was last updated on 2007-07-08.