Jerrold P Cansdale in Carson City - Dentist

Jerrold P Cansdale - NPI 1326069634

Jerrold P Cansdale is a Dentist in Carson City, Nevada. Jerrold P Cansdale practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jerrold P Cansdale is 1326069634. The last update date is 2012-08-13.

Jerrold P Cansdale's current location address is 1802 N Carson St, Carson City, Nevada. You can contact this provider via phone number 7758886610 and fax number 7758877046. The mailing address for Jerrold P Cansdale is 1802 N Carson St, Carson City, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerrold P Cansdale
Address 1802 N Carson St, Carson City, Nevada
Phone Number 7758886610
Fax Number 7758877046
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1326069634
Provider Enumeration Date 2006-07-21
Last Updated Date 2012-08-13

Provider Mailing Address Detail

Address 1802 N Carson St
City Carson City
State Nevada (NV)
Post Code 897011265
Phone Number 7758886610
Fax Number 7758877046

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 2050
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1326069634 NV --
2050 NV NV DENTAL LICENSE

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FAQs about Jerrold P Cansdale

What is the Jerrold P Cansdale's unique identification number?

The Jerrold P Cansdale has been assigned the NPI (National Provider Identifier) Number 1326069634 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Jerrold P Cansdale?

The Jerrold P Cansdale is situated at 1802 N Carson St, in the city of Carson City, state of NV, with the zip code 897011265.

What is the Jerrold P Cansdale's specialty and taxonomy code?

The Jerrold P Cansdale's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1326069634 to Jerrold P Cansdale?

The Centers for Medicare & Medicaid Services assigned the 1326069634 to Jerrold P Cansdale on 2006-07-21.

When was the Jerrold P Cansdale's information last updated?

The Jerrold P Cansdale's information was last updated on 2012-08-13.

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