Jimmy Lee Shadid is a Dentist in Wichita, Kansas. Jimmy Lee Shadid practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jimmy Lee Shadid is 1316057185. The last update date is 2007-07-08.
Jimmy Lee Shadid's current location address is 3367 E 47th South, Wichita, Kansas. You can contact this provider via phone number 3165245851. The mailing address for Jimmy Lee Shadid is 3367 E 47th South, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jimmy Lee Shadid |
|---|---|
| Address | 3367 E 47th South, Wichita, Kansas |
| Phone Number | 3165245851 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1316057185 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3367 E 47th South |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 67216 |
| Phone Number | 3165245851 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4428 |
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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 10-digit identifier code issued to Jimmy Lee Shadid by the Centers for Medicare & Medicaid Services?
The Jimmy Lee Shadid has been assigned the NPI (National Provider Identifier) 1316057185 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jimmy Lee Shadid is geographically located?
The Jimmy Lee Shadid is physically situated at the following location: 3367 E 47Th South, Wichita, KS, 67216.
What is Jimmy Lee Shadid's area of expertise and its corresponding taxonomy classification?
The Jimmy Lee Shadid's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
When did the Jimmy Lee Shadid receive its 1316057185?
The Jimmy Lee Shadid was issued its 1316057185 on 2006-08-30, which is the date when the organization was assigned this unique identifier.
When was the information related to Jimmy Lee Shadid most recently updated or refreshed?
The details pertaining to the Jimmy Lee Shadid, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.