Mia R Sellars is a Dentist in Evarts, Kentucky. Mia R Sellars practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mia R Sellars is 1609971969. The last update date is 2015-10-21.
Mia R Sellars's current location address is Clover Fork Clinic, Evarts, Kentucky. You can contact this provider via phone number 6068372108 and fax number 6068379389. The mailing address for Mia R Sellars is Clover Fork Clinic, Evarts, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mia R Sellars |
|---|---|
| Address | Clover Fork Clinic, Evarts, Kentucky |
| Phone Number | 6068372108 |
| Fax Number | 6068379389 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1609971969 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2015-10-21 |
Provider Mailing Address Detail
| Address | Clover Fork Clinic |
|---|---|
| City | Evarts |
| State | Kentucky (KY) |
| Post Code | 408280039 |
| Phone Number | 6068372108 |
| Fax Number | 6068379389 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6865 |
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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 |
|---|---|---|---|
| 60001864 | KY | -- |
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What is the Mia R Sellars's unique identification number?
The Mia R Sellars has been assigned the NPI (National Provider Identifier) Number 1609971969 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Mia R Sellars?
The Mia R Sellars is physically situated at Clover Fork Clinic, in the city of Evarts, state of KY, with the postal code 408280039.
What is the Mia R Sellars's specialty and taxonomy code?
The Mia R Sellars's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did Mia R Sellars receive its 1609971969 assignment from the Centers for Medicare & Medicaid Services?
The Mia R Sellars was assigned its 1609971969 on 2006-09-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mia R Sellars most recently updated or refreshed?
The details pertaining to the Mia R Sellars, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-10-21.
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