Gary Robert Raccuglia in Overland Park - Dentist
Gary Robert Raccuglia - NPI 1083749527
Gary Robert Raccuglia is a Dentist in Overland Park, Kansas. Gary Robert Raccuglia practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gary Robert Raccuglia is 1083749527. The last update date is 2007-07-08.
Gary Robert Raccuglia's current location address is 6812 W 125th St, Overland Park, Kansas. You can contact this provider via phone number 9133459122. The mailing address for Gary Robert Raccuglia is 6812 W 125th St, Overland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Robert Raccuglia |
|---|---|
| Address | 6812 W 125th St, Overland Park, Kansas |
| Phone Number | 9133459122 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1083749527 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6812 W 125th St |
|---|---|
| City | Overland Park |
| State | Kansas (KS) |
| Post Code | 662092586 |
| Phone Number | 9133459122 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5323 |
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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 Gary Robert Raccuglia?
The Gary Robert Raccuglia has been issued the NPI (National Provider Identifier) 1083749527 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Gary Robert Raccuglia located?
The Gary Robert Raccuglia is located at 6812 W 125Th St, Overland Park, KS 662092586.
What is Gary Robert Raccuglia's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gary Robert Raccuglia is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
When was the Gary Robert Raccuglia's 1083749527 issued?
The Gary Robert Raccuglia's 1083749527 was issued on 2007-02-23.
When was the information regarding Gary Robert Raccuglia, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gary Robert Raccuglia, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.