Kenneth Samuelson is a Dentist in Nellis Afb, Nevada. Kenneth Samuelson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kenneth Samuelson is 1275674574. The last update date is 2018-11-19.
Kenneth Samuelson's current location address is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. You can contact this provider via phone number 7026532600. The mailing address for Kenneth Samuelson is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Samuelson |
|---|---|
| Address | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
| Phone Number | 7026532600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1275674574 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2018-11-19 |
Provider Mailing Address Detail
| Address | 4700 Las Vegas Blvd N |
|---|---|
| City | Nellis Afb |
| State | Nevada (NV) |
| Post Code | 891916600 |
| Phone Number | 7026532600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 32611 |
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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 10-digit identifier code issued to Kenneth Samuelson by the Centers for Medicare & Medicaid Services?
The Kenneth Samuelson has been assigned the NPI (National Provider Identifier) 1275674574 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kenneth Samuelson?
The Kenneth Samuelson is situated at 4700 Las Vegas Blvd N, in the city of Nellis Afb, state of NV, with the zip code 891916600.
What is Kenneth Samuelson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth Samuelson's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did Kenneth Samuelson receive its 1275674574 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Samuelson was assigned its 1275674574 on 2007-02-09, 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 Kenneth Samuelson's details last updated?
The information pertaining to the Kenneth Samuelson, including its address, specialty, and other details, was most recently updated on 2018-11-19.