Robert E Hackley in Fargo - Dentist

Robert E Hackley - NPI 1407921919

Robert E Hackley is a Dentist in Fargo, North Dakota. Robert E Hackley practices all healthcare services and medical treatments related to Dentist. The NPI Number for Robert E Hackley is 1407921919. The last update date is 2007-07-08.

Robert E Hackley's current location address is Po Box 2625, Fargo, North Dakota. You can contact this provider via phone number 7012397111. The mailing address for Robert E Hackley is Po Box 2625, Fargo, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert E Hackley
Address Po Box 2625, Fargo, North Dakota
Phone Number 7012397111
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1407921919
Provider Enumeration Date 2006-11-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 2625
City Fargo
State North Dakota (ND)
Post Code 581082625
Phone Number 7012397111
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 12109
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
41358 ND --

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FAQs about Robert E Hackley

What is the Robert E Hackley's unique identification number?

The Robert E Hackley has been assigned the NPI (National Provider Identifier) Number 1407921919 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 Robert E Hackley?

The Robert E Hackley is situated at Po Box 2625, in the city of Fargo, state of ND, with the zip code 581082625.

What is the Robert E Hackley's specialty and taxonomy code?

The Robert E Hackley's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1407921919 to Robert E Hackley?

The Centers for Medicare & Medicaid Services originally issued the 1407921919 to Robert E Hackley on 2006-11-21.

When was the information related to Robert E Hackley most recently updated or refreshed?

The details pertaining to the Robert E Hackley, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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