Michael John Peneguy in Thibodaux - Dentist
Michael John Peneguy - NPI 1154338457
Michael John Peneguy is a Dentist in Thibodaux, Louisiana. Michael John Peneguy practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michael John Peneguy is 1154338457. The last update date is 2007-07-08.
Michael John Peneguy's current location address is Po Box 630, Thibodaux, Louisiana. You can contact this provider via phone number 9854468815. The mailing address for Michael John Peneguy is Po Box 630, Thibodaux, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael John Peneguy |
|---|---|
| Address | Po Box 630, Thibodaux, Louisiana |
| Phone Number | 9854468815 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1154338457 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 630 |
|---|---|
| City | Thibodaux |
| State | Louisiana (LA) |
| Post Code | 703020630 |
| Phone Number | 9854468815 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5203 |
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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 identification code assigned to Michael John Peneguy by the Centers for Medicare & Medicaid Services?
The Michael John Peneguy has been issued the NPI (National Provider Identifier) 1154338457. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Michael John Peneguy?
The Michael John Peneguy is situated at Po Box 630, in the city of Thibodaux, state of LA, with the zip code 703020630.
What is the Michael John Peneguy's specialty and taxonomy code?
The Michael John Peneguy's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154338457 to Michael John Peneguy?
The Michael John Peneguy received its 1154338457 assignment from the Centers for Medicare & Medicaid Services on 2006-08-01.
When was the information pertaining to Michael John Peneguy most recently updated or revised?
The details related to Michael John Peneguy, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.