Trudy Gayle Stickney Amstad in Beachwood - Dentist
Trudy Gayle Stickney Amstad - NPI 1417114042
Trudy Gayle Stickney Amstad is a Dentist in Beachwood, Ohio. Trudy Gayle Stickney Amstad practices all healthcare services and medical treatments related to Dentist. The NPI Number for Trudy Gayle Stickney Amstad is 1417114042. The last update date is 2008-05-21.
Trudy Gayle Stickney Amstad's current location address is 3690 Orange Place, Beachwood, Ohio. You can contact this provider via phone number 2165951420 and fax number 2165950339. The mailing address for Trudy Gayle Stickney Amstad is 3690 Orange Place, Beachwood, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Trudy Gayle Stickney Amstad |
|---|---|
| Address | 3690 Orange Place, Beachwood, Ohio |
| Phone Number | 2165951420 |
| Fax Number | 2165950339 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1417114042 |
|---|---|
| Provider Enumeration Date | 2008-05-21 |
| Last Updated Date | 2008-05-21 |
Provider Mailing Address Detail
| Address | 3690 Orange Place |
|---|---|
| City | Beachwood |
| State | Ohio (OH) |
| Post Code | 44122 |
| Phone Number | 2165951420 |
| Fax Number | 2165950339 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 7118 |
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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 Trudy Gayle Stickney Amstad's 1417114042?
The Trudy Gayle Stickney Amstad's NPI (National Provider Identifier) Number is 1417114042. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Trudy Gayle Stickney Amstad is physically located?
The Trudy Gayle Stickney Amstad is physically situated at the following address: 3690 Orange Place, Beachwood, OH, 44122.
What is Trudy Gayle Stickney Amstad's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Trudy Gayle Stickney Amstad's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did Trudy Gayle Stickney Amstad receive its 1417114042 assignment from the Centers for Medicare & Medicaid Services?
The Trudy Gayle Stickney Amstad was assigned its 1417114042 on 2008-05-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Trudy Gayle Stickney Amstad most recently updated or revised?
The details related to Trudy Gayle Stickney Amstad, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-21.