Amanda Jorgensen is a Dentist in Grimes, Iowa. Amanda Jorgensen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Amanda Jorgensen is 1235158452. The last update date is 2013-04-26.
Amanda Jorgensen's current location address is 100 Sw Brookside Dr, Grimes, Iowa. You can contact this provider via phone number 5159863926 and fax number 5159865116. The mailing address for Amanda Jorgensen is 100 Sw Brookside Dr, Grimes, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Jorgensen |
|---|---|
| Address | 100 Sw Brookside Dr, Grimes, Iowa |
| Phone Number | 5159863926 |
| Fax Number | 5159865116 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1235158452 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2013-04-26 |
Provider Mailing Address Detail
| Address | 100 Sw Brookside Dr |
|---|---|
| City | Grimes |
| State | Iowa (IA) |
| Post Code | 50111 |
| Phone Number | 5159863926 |
| Fax Number | 5159865116 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 8223 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 293605 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Amanda Jorgensen by the Centers for Medicare & Medicaid Services?
The Amanda Jorgensen has been assigned the NPI (National Provider Identifier) 1235158452 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Amanda Jorgensen?
The Amanda Jorgensen is situated at 100 Sw Brookside Dr, in the city of Grimes, state of IA, with the zip code 50111.
What is Amanda Jorgensen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Amanda Jorgensen's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Amanda Jorgensen receive the assignment of its 1235158452 from the Centers for Medicare & Medicaid Services?
The Amanda Jorgensen was issued its 1235158452 by the Centers for Medicare & Medicaid Services on 2006-07-19.
When was the information regarding Amanda Jorgensen most recently updated?
The details pertaining to the Amanda Jorgensen, including its address, specialty, and other relevant information, were last refreshed on 2013-04-26.