Kenneth B Weddell Dds Pc in Fremont - Dentist

Kenneth B Weddell Dds Pc - NPI 1730161175

Kenneth B Weddell Dds Pc is a Dentist in Fremont, Michigan. Kenneth B Weddell Dds Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kenneth B Weddell Dds Pc is 1730161175. The last update date is 2020-08-22.

Kenneth B Weddell Dds Pc's current location address is Po Box 437, Fremont, Michigan. You can contact this provider via phone number 2319243600 and fax number 2319249720. The mailing address for Kenneth B Weddell Dds Pc is Po Box 437, Fremont, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kenneth B Weddell Dds Pc
Address Po Box 437, Fremont, Michigan
Phone Number 2319243600
Fax Number 2319249720
Sole Proprietor --
Credentials --

Authorized Official

Title or Position REPRESENTA
Authorized Official Name Weddell B Kenneth
Credentials DDS
Telephone Number 2319243600

NPI Number Detail

NPI Number 1730161175
Provider Enumeration Date 2005-11-18
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 437
City Fremont
State Michigan (MI)
Post Code 494120437
Phone Number 2319243600
Fax Number 2319249720

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
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
847376 UN CONCORDIA
D808140 MI BCBS

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FAQs about Kenneth B Weddell Dds Pc

What is the unique 10-digit identification code issued to Kenneth B Weddell Dds Pc by the Centers for Medicare & Medicaid Services?

The Kenneth B Weddell Dds Pc has been assigned the NPI (National Provider Identifier) 1730161175 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Kenneth B Weddell Dds Pc is physically located?

The Kenneth B Weddell Dds Pc is situated at the following address: Po Box 437, Fremont, MI 494120437.

What is Kenneth B Weddell Dds Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kenneth B Weddell Dds Pc is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

On what date did the Kenneth B Weddell Dds Pc receive its 1730161175 assignment from the Centers for Medicare & Medicaid Services?

The Kenneth B Weddell Dds Pc was assigned its 1730161175 by the Centers for Medicare & Medicaid Services on 2005-11-18.

As of what date were the Kenneth B Weddell Dds Pc's details last updated?

The information pertaining to the Kenneth B Weddell Dds Pc, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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