James Edward Vandewater in Ellisville - Dentist
James Edward Vandewater - NPI 1689780736
James Edward Vandewater is a Dentist in Ellisville, Missouri. James Edward Vandewater practices all healthcare services and medical treatments related to Dentist. The NPI Number for James Edward Vandewater is 1689780736. The last update date is 2016-02-23.
James Edward Vandewater's current location address is 164 Clarkson Executive Park, Ellisville, Missouri. You can contact this provider via phone number 6363947330 and fax number 6363947908. The mailing address for James Edward Vandewater is 164 Clarkson Executive Park, Ellisville, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | James Edward Vandewater |
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Address | 164 Clarkson Executive Park, Ellisville, Missouri |
Phone Number | 6363947330 |
Fax Number | 6363947908 |
Sole Proprietor | N |
Credentials | DMD |
NPI Number Detail
NPI Number | 1689780736 |
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Provider Enumeration Date | 2006-08-22 |
Last Updated Date | 2016-02-23 |
Provider Mailing Address Detail
Address | 164 Clarkson Executive Park |
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City | Ellisville |
State | Missouri (MO) |
Post Code | 630112114 |
Phone Number | 6363947330 |
Fax Number | 6363947908 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 15342 |
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 identifier code issued to James Edward Vandewater by the Centers for Medicare & Medicaid Services?
The James Edward Vandewater has been assigned the NPI (National Provider Identifier) 1689780736. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of James Edward Vandewater?
The James Edward Vandewater is situated at 164 Clarkson Executive Park, in the city of Ellisville, state of MO, with the zip code 630112114.
What is the James Edward Vandewater's area of specialization and corresponding taxonomy classification?
The James Edward Vandewater's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date was the 1689780736 assigned to James Edward Vandewater?
The James Edward Vandewater was issued its 1689780736 on 2006-08-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the James Edward Vandewater's details last updated?
The information pertaining to the James Edward Vandewater, including its address, specialty, and other details, was most recently updated on 2016-02-23.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY