Kenyatta Mack-Gates in Middletown - Dentist
Kenyatta Mack-Gates - NPI 1023007374
Kenyatta Mack-Gates is a Dentist in Middletown, New York. Kenyatta Mack-Gates practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kenyatta Mack-Gates is 1023007374. The last update date is 2013-07-31.
Kenyatta Mack-Gates's current location address is 61 Orange Plaza Ln, Middletown, New York. You can contact this provider via phone number 8453443844. The mailing address for Kenyatta Mack-Gates is 61 Orange Plaza Ln, Middletown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenyatta Mack-Gates |
|---|---|
| Address | 61 Orange Plaza Ln, Middletown, New York |
| Phone Number | 8453443844 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1023007374 |
|---|---|
| Provider Enumeration Date | 2005-10-19 |
| Last Updated Date | 2013-07-31 |
Provider Mailing Address Detail
| Address | 61 Orange Plaza Ln |
|---|---|
| City | Middletown |
| State | New York (NY) |
| Post Code | 109402254 |
| Phone Number | 8453443844 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 48566 |
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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 |
|---|---|---|---|
| 2213830 | NY | -- | |
| 1746900 | MD | -- |
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What is the unique 10-digit identifier code issued to Kenyatta Mack-Gates by the Centers for Medicare & Medicaid Services?
The Kenyatta Mack-Gates has been assigned the NPI (National Provider Identifier) 1023007374 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kenyatta Mack-Gates?
The Kenyatta Mack-Gates is physically situated at 61 Orange Plaza Ln, in the city of Middletown, state of NY, with the postal code 109402254.
What is the Kenyatta Mack-Gates's specialty and taxonomy code?
The Kenyatta Mack-Gates's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did the Kenyatta Mack-Gates receive its 1023007374?
The Kenyatta Mack-Gates was issued its 1023007374 on 2005-10-19, which is the date when the organization was assigned this unique identifier.
When was the information regarding Kenyatta Mack-Gates most recently updated?
The details pertaining to the Kenyatta Mack-Gates, including its address, specialty, and other relevant information, were last refreshed on 2013-07-31.