Clarence Renshaw Avery in Pascagoula - Dentist
Clarence Renshaw Avery - NPI 1487769055
Clarence Renshaw Avery is a Dentist in Pascagoula, Mississippi. Clarence Renshaw Avery practices all healthcare services and medical treatments related to Dentist. The NPI Number for Clarence Renshaw Avery is 1487769055. The last update date is 2007-07-08.
Clarence Renshaw Avery's current location address is Po Box 405, Pascagoula, Mississippi. You can contact this provider via phone number 2287629123 and fax number 2287629123. The mailing address for Clarence Renshaw Avery is Po Box 405, Pascagoula, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clarence Renshaw Avery |
|---|---|
| Address | Po Box 405, Pascagoula, Mississippi |
| Phone Number | 2287629123 |
| Fax Number | 2287629123 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1487769055 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 405 |
|---|---|
| City | Pascagoula |
| State | Mississippi (MS) |
| Post Code | 395680405 |
| Phone Number | 2287629123 |
| Fax Number | 2287629123 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1819-78 |
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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 10-digit identifier code issued to Clarence Renshaw Avery by the Centers for Medicare & Medicaid Services?
The Clarence Renshaw Avery has been assigned the NPI (National Provider Identifier) 1487769055 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Clarence Renshaw Avery's facilities are situated?
The facilities of Clarence Renshaw Avery are physically located at the following address: Po Box 405, Pascagoula, MS, 395680405.
What is Clarence Renshaw Avery's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Clarence Renshaw Avery is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1487769055 to Clarence Renshaw Avery?
The Centers for Medicare & Medicaid Services assigned the 1487769055 to Clarence Renshaw Avery on 2006-08-21.
As of what date were the details pertaining to Clarence Renshaw Avery last refreshed?
The information related to the Clarence Renshaw Avery, including its address, specialty, and other relevant details, was last updated on 2007-07-08.