Jerry Wayne Caudill in Campbellsburg - Dentist
Jerry Wayne Caudill - NPI 1912006743
Jerry Wayne Caudill is a Dentist in Campbellsburg, Kentucky. Jerry Wayne Caudill practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jerry Wayne Caudill is 1912006743. The last update date is 2020-01-16.
Jerry Wayne Caudill's current location address is 51 Carrie Ln, Campbellsburg, Kentucky. You can contact this provider via phone number 5024141114 and fax number 5022360555. The mailing address for Jerry Wayne Caudill is 51 Carrie Ln, Campbellsburg, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Wayne Caudill |
|---|---|
| Address | 51 Carrie Ln, Campbellsburg, Kentucky |
| Phone Number | 5024141114 |
| Fax Number | 5022360555 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1912006743 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2020-01-16 |
Provider Mailing Address Detail
| Address | 51 Carrie Ln |
|---|---|
| City | Campbellsburg |
| State | Kentucky (KY) |
| Post Code | 400116218 |
| Phone Number | 5024141114 |
| Fax Number | 5022360555 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5408 |
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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 identifier code issued to Jerry Wayne Caudill by the Centers for Medicare & Medicaid Services (CMS)?
The Jerry Wayne Caudill has been assigned the NPI (National Provider Identifier) 1912006743. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Jerry Wayne Caudill is geographically located?
The Jerry Wayne Caudill is physically situated at the following location: 51 Carrie Ln, Campbellsburg, KY, 400116218.
What is Jerry Wayne Caudill's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerry Wayne Caudill is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
When did Jerry Wayne Caudill receive its 1912006743 assignment?
The Jerry Wayne Caudill was assigned its 1912006743 on 2006-09-21, which is the date when this unique identifier was issued to the organization.
When was the Jerry Wayne Caudill's information last updated?
The Jerry Wayne Caudill's information was last updated on 2020-01-16.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY