Gilbert Russell Backus in Boardman - Dentist
Gilbert Russell Backus - NPI 1063572162
Gilbert Russell Backus is a Dentist in Boardman, Ohio. Gilbert Russell Backus practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gilbert Russell Backus is 1063572162. The last update date is 2007-07-08.
Gilbert Russell Backus's current location address is 810 Boardman Canfield Rd, Boardman, Ohio. You can contact this provider via phone number 3307587931. The mailing address for Gilbert Russell Backus is 810 Boardman Canfield Rd, Boardman, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gilbert Russell Backus |
|---|---|
| Address | 810 Boardman Canfield Rd, Boardman, Ohio |
| Phone Number | 3307587931 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1063572162 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 810 Boardman Canfield Rd |
|---|---|
| City | Boardman |
| State | Ohio (OH) |
| Post Code | 445124200 |
| Phone Number | 3307587931 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 30013429 |
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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 unique 10-digit identification code issued to Gilbert Russell Backus by the Centers for Medicare & Medicaid Services?
The Gilbert Russell Backus has been assigned the NPI (National Provider Identifier) 1063572162 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Gilbert Russell Backus's facilities are situated?
The facilities of Gilbert Russell Backus are physically located at the following address: 810 Boardman Canfield Rd, Boardman, OH, 445124200.
What is Gilbert Russell Backus's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gilbert Russell Backus is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Gilbert Russell Backus receive the assignment of its 1063572162 from the Centers for Medicare & Medicaid Services?
The Gilbert Russell Backus was issued its 1063572162 by the Centers for Medicare & Medicaid Services on 2006-12-11.
When was the information regarding Gilbert Russell Backus most recently updated?
The details pertaining to the Gilbert Russell Backus, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.