Gordon J Diehl Dmd Pc in East Setauket - Dentist

Gordon J Diehl Dmd Pc - NPI 1942364005

Gordon J Diehl Dmd Pc is a Dentist in East Setauket, New York. Gordon J Diehl Dmd Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gordon J Diehl Dmd Pc is 1942364005. The last update date is 2012-06-27.

Gordon J Diehl Dmd Pc's current location address is 176 Gnarled Hollow Rd, East Setauket, New York. You can contact this provider via phone number 6316891548 and fax number 6316891516. The mailing address for Gordon J Diehl Dmd Pc is 176 Gnarled Hollow Rd, East Setauket, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gordon J Diehl Dmd Pc
Address 176 Gnarled Hollow Rd, East Setauket, New York
Phone Number 6316891548
Fax Number 6316891516
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Diehl Josef Gordon
Credentials DMD
Telephone Number 6316891548

NPI Number Detail

NPI Number 1942364005
Provider Enumeration Date 2006-12-21
Last Updated Date 2012-06-27

Provider Mailing Address Detail

Address 176 Gnarled Hollow Rd
City East Setauket
State New York (NY)
Post Code 11733
Phone Number 6316891548
Fax Number 6316891516

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 40755
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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FAQs about Gordon J Diehl Dmd Pc

What is the unique identifier code issued to Gordon J Diehl Dmd Pc by the Centers for Medicare & Medicaid Services (CMS)?

The Gordon J Diehl Dmd Pc has been assigned the NPI (National Provider Identifier) 1942364005. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Gordon J Diehl Dmd Pc is geographically located?

The Gordon J Diehl Dmd Pc is physically situated at the following location: 176 Gnarled Hollow Rd, East Setauket, NY, 11733.

What is the Gordon J Diehl Dmd Pc's area of specialization and corresponding taxonomy classification?

The Gordon J Diehl Dmd Pc's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.

On what date did the Gordon J Diehl Dmd Pc receive its 1942364005 assignment from the Centers for Medicare & Medicaid Services?

The Gordon J Diehl Dmd Pc was assigned its 1942364005 by the Centers for Medicare & Medicaid Services on 2006-12-21.

As of what date was the information pertaining to Gordon J Diehl Dmd Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Gordon J Diehl Dmd Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-06-27.

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