Richard Scott Eidson in Lenoir - Dentist

Richard Scott Eidson - NPI 1407810112

Richard Scott Eidson is a Dentist in Lenoir, North Carolina. Richard Scott Eidson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Richard Scott Eidson is 1407810112. The last update date is 2007-07-08.

Richard Scott Eidson's current location address is 504 Mulberry Street Sw, Lenoir, North Carolina. You can contact this provider via phone number 8287584415 and fax number 8287584494. The mailing address for Richard Scott Eidson is 504 Mulberry Street Sw, Lenoir, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Scott Eidson
Address 504 Mulberry Street Sw, Lenoir, North Carolina
Phone Number 8287584415
Fax Number 8287584494
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1407810112
Provider Enumeration Date 2006-04-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 504 Mulberry Street Sw
City Lenoir
State North Carolina (NC)
Post Code 28645
Phone Number 8287584415
Fax Number 8287584494

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 4482
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
8992462 NC --

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FAQs about Richard Scott Eidson

What is the Richard Scott Eidson's unique identification number?

The Richard Scott Eidson has been assigned the NPI (National Provider Identifier) Number 1407810112 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Richard Scott Eidson is physically located?

The Richard Scott Eidson is situated at the following address: 504 Mulberry Street Sw, Lenoir, NC 28645.

What is the area of specialization for Richard Scott Eidson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Richard Scott Eidson is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1407810112 to Richard Scott Eidson?

The Centers for Medicare & Medicaid Services originally issued the 1407810112 to Richard Scott Eidson on 2006-04-12.

As of what date were the details related to Richard Scott Eidson most recently updated or revised?

The information pertaining to Richard Scott Eidson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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