Stephen Richard Chismarich in Bowling Green - Dentist
Stephen Richard Chismarich - NPI 1073732640
Stephen Richard Chismarich is a Dentist in Bowling Green, Missouri. Stephen Richard Chismarich practices all healthcare services and medical treatments related to Dentist. The NPI Number for Stephen Richard Chismarich is 1073732640. The last update date is 2007-07-08.
Stephen Richard Chismarich's current location address is 310 W Main St, Bowling Green, Missouri. You can contact this provider via phone number 5733242238 and fax number 5733242239. The mailing address for Stephen Richard Chismarich is 310 W Main St, Bowling Green, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Richard Chismarich |
|---|---|
| Address | 310 W Main St, Bowling Green, Missouri |
| Phone Number | 5733242238 |
| Fax Number | 5733242239 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1073732640 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 310 W Main St |
|---|---|
| City | Bowling Green |
| State | Missouri (MO) |
| Post Code | 633341561 |
| Phone Number | 5733242238 |
| Fax Number | 5733242239 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 10993 |
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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 identification code issued to Stephen Richard Chismarich by the Centers for Medicare & Medicaid Services?
The Stephen Richard Chismarich has been assigned the NPI (National Provider Identifier) 1073732640 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Stephen Richard Chismarich is geographically located?
The Stephen Richard Chismarich is physically situated at the following location: 310 W Main St, Bowling Green, MO, 633341561.
What is the Stephen Richard Chismarich's area of specialization and corresponding taxonomy classification?
The Stephen Richard Chismarich'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 issue the 1073732640 to Stephen Richard Chismarich?
The Stephen Richard Chismarich received its 1073732640 assignment from the Centers for Medicare & Medicaid Services on 2007-04-24.
As of what date were the Stephen Richard Chismarich's details last updated?
The information pertaining to the Stephen Richard Chismarich, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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