Theodore Trent Bozarth in El Dorado Springs - Dentist
Theodore Trent Bozarth - NPI 1134203912
Theodore Trent Bozarth is a Dentist in El Dorado Springs, Missouri. Theodore Trent Bozarth practices all healthcare services and medical treatments related to Dentist. The NPI Number for Theodore Trent Bozarth is 1134203912. The last update date is 2007-07-09.
Theodore Trent Bozarth's current location address is Po Box 326, El Dorado Springs, Missouri. You can contact this provider via phone number 4178766575 and fax number 4178766575. The mailing address for Theodore Trent Bozarth is Po Box 326, El Dorado Springs, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Theodore Trent Bozarth |
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Address | Po Box 326, El Dorado Springs, Missouri |
Phone Number | 4178766575 |
Fax Number | 4178766575 |
Sole Proprietor | Y |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1134203912 |
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Provider Enumeration Date | 2006-10-25 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | Po Box 326 |
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City | El Dorado Springs |
State | Missouri (MO) |
Post Code | 647440326 |
Phone Number | 4178766575 |
Fax Number | 4178766575 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 12647 |
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 Theodore Trent Bozarth by the Centers for Medicare & Medicaid Services?
The Theodore Trent Bozarth has been issued the NPI (National Provider Identifier) 1134203912. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Theodore Trent Bozarth located?
The Theodore Trent Bozarth is located at Po Box 326, El Dorado Springs, MO 647440326.
What is Theodore Trent Bozarth's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Theodore Trent Bozarth is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134203912 to Theodore Trent Bozarth?
The Centers for Medicare & Medicaid Services assigned the 1134203912 to Theodore Trent Bozarth on 2006-10-25.
As of what date was the information regarding Theodore Trent Bozarth, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Theodore Trent Bozarth, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.