Charles William Genrich in Lincoln - Dentist
Charles William Genrich - NPI 1679616999
Charles William Genrich is a Dentist in Lincoln, Nebraska. Charles William Genrich practices all healthcare services and medical treatments related to Dentist. The NPI Number for Charles William Genrich is 1679616999. The last update date is 2007-07-08.
Charles William Genrich's current location address is 4830 Saint Paul Ave, Lincoln, Nebraska. You can contact this provider via phone number 4024662211 and fax number 4024663286. The mailing address for Charles William Genrich is 4830 Saint Paul Ave, Lincoln, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles William Genrich |
|---|---|
| Address | 4830 Saint Paul Ave, Lincoln, Nebraska |
| Phone Number | 4024662211 |
| Fax Number | 4024663286 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1679616999 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4830 Saint Paul Ave |
|---|---|
| City | Lincoln |
| State | Nebraska (NE) |
| Post Code | 685042661 |
| Phone Number | 4024662211 |
| Fax Number | 4024663286 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5148 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 47-079002700 | NE | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Charles William Genrich by the Centers for Medicare & Medicaid Services?
The Charles William Genrich has been issued the NPI (National Provider Identifier) 1679616999 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Charles William Genrich's facilities are situated?
The facilities of Charles William Genrich are physically located at the following address: 4830 Saint Paul Ave, Lincoln, NE, 685042661.
What is Charles William Genrich's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles William Genrich's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Charles William Genrich receive the assignment of its 1679616999 from the Centers for Medicare & Medicaid Services?
The Charles William Genrich was issued its 1679616999 by the Centers for Medicare & Medicaid Services on 2007-02-15.
When was the information related to Charles William Genrich most recently updated or refreshed?
The details pertaining to the Charles William Genrich, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.