John Leo Agers is a Dentist in Desoto, Missouri. John Leo Agers practices all healthcare services and medical treatments related to Dentist. The NPI Number for John Leo Agers is 1194751545. The last update date is 2007-07-08.
John Leo Agers's current location address is 120 Boyd St, Desoto, Missouri. You can contact this provider via phone number 6365863440 and fax number 6365862228. The mailing address for John Leo Agers is 120 Boyd St, Desoto, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Leo Agers |
|---|---|
| Address | 120 Boyd St, Desoto, Missouri |
| Phone Number | 6365863440 |
| Fax Number | 6365862228 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1194751545 |
|---|---|
| Provider Enumeration Date | 2006-06-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 120 Boyd St |
|---|---|
| City | Desoto |
| State | Missouri (MO) |
| Post Code | 630201711 |
| Phone Number | 6365863440 |
| Fax Number | 6365862228 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12475 |
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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 John Leo Agers by the Centers for Medicare & Medicaid Services?
The John Leo Agers has been issued the NPI (National Provider Identifier) 1194751545. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where John Leo Agers is physically located?
The John Leo Agers is situated at the following address: 120 Boyd St, Desoto, MO 630201711.
What is John Leo Agers's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Leo Agers is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did John Leo Agers receive its 1194751545 assignment from the Centers for Medicare & Medicaid Services?
The John Leo Agers was assigned its 1194751545 on 2006-06-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the John Leo Agers's details last updated?
The information pertaining to the John Leo Agers, including its address, specialty, and other details, was most recently updated on 2007-07-08.