John B Codjoe in Forestdale - Dentist

John B Codjoe - NPI 1770618506

John B Codjoe is a Dentist in Forestdale, Massachusetts. John B Codjoe practices all healthcare services and medical treatments related to Dentist. The NPI Number for John B Codjoe is 1770618506. The last update date is 2012-03-02.

John B Codjoe's current location address is 14 Tabor Road, Forestdale, Massachusetts. You can contact this provider via phone number 5087717751 and fax number 5088274696. The mailing address for John B Codjoe is 14 Tabor Road, Forestdale, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name John B Codjoe
Address 14 Tabor Road, Forestdale, Massachusetts
Phone Number 5087717751
Fax Number 5088274696
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1770618506
Provider Enumeration Date 2007-02-22
Last Updated Date 2012-03-02

Provider Mailing Address Detail

Address 14 Tabor Road
City Forestdale
State Massachusetts (MA)
Post Code 2644
Phone Number 5087717751
Fax Number 5088274696

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DN1855757
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9903933 MA --

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FAQs about John B Codjoe

What is the unique identifier code issued to John B Codjoe by the Centers for Medicare & Medicaid Services (CMS)?

The John B Codjoe has been assigned the NPI (National Provider Identifier) 1770618506. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where John B Codjoe is physically located?

The John B Codjoe is situated at the following address: 14 Tabor Road, Forestdale, MA 2644.

What is the John B Codjoe's area of specialization and corresponding taxonomy classification?

The John B Codjoe's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1770618506 to John B Codjoe?

The Centers for Medicare & Medicaid Services originally issued the 1770618506 to John B Codjoe on 2007-02-22.

As of what date was the information pertaining to John B Codjoe, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to John B Codjoe, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-03-02.

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