Carol Halloran in Waterloo - Dentist

Carol Halloran - NPI 1407831746

Carol Halloran is a Dentist in Waterloo, Iowa. Carol Halloran practices all healthcare services and medical treatments related to Dentist. The NPI Number for Carol Halloran is 1407831746. The last update date is 2012-09-27.

Carol Halloran's current location address is 1950 Plymouth Ave, Waterloo, Iowa. You can contact this provider via phone number 3192913908 and fax number 3192914077. The mailing address for Carol Halloran is 1950 Plymouth Ave, Waterloo, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Carol Halloran
Address 1950 Plymouth Ave, Waterloo, Iowa
Phone Number 3192913908
Fax Number 3192914077
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1407831746
Provider Enumeration Date 2005-12-09
Last Updated Date 2012-09-27

Provider Mailing Address Detail

Address 1950 Plymouth Ave
City Waterloo
State Iowa (IA)
Post Code 507023524
Phone Number 3192913908
Fax Number 3192914077

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 7465
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
76372 IA --

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FAQs about Carol Halloran

What is the unique identifier code issued to Carol Halloran by the Centers for Medicare & Medicaid Services (CMS)?

The Carol Halloran has been assigned the NPI (National Provider Identifier) 1407831746. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Carol Halloran located?

The Carol Halloran is located at 1950 Plymouth Ave, Waterloo, IA 507023524.

What is the Carol Halloran's area of specialization and corresponding taxonomy classification?

The Carol Halloran'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 Carol Halloran receive the assignment of its 1407831746 from the Centers for Medicare & Medicaid Services?

The Carol Halloran was issued its 1407831746 by the Centers for Medicare & Medicaid Services on 2005-12-09.

As of what date were the details related to Carol Halloran most recently updated or revised?

The information pertaining to Carol Halloran, including its address, specialty, and other relevant details, was last updated or revised on 2012-09-27.

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