Judson Rudolph Wynkoop in Columbus - Dentist

Judson Rudolph Wynkoop - NPI 1760524300

Judson Rudolph Wynkoop is a Dentist in Columbus, Ohio. Judson Rudolph Wynkoop practices all healthcare services and medical treatments related to Dentist. The NPI Number for Judson Rudolph Wynkoop is 1760524300. The last update date is 2015-12-22.

Judson Rudolph Wynkoop's current location address is 1583e Livingston Ave, Columbus, Ohio. You can contact this provider via phone number 6142520936 and fax number 6142527260. The mailing address for Judson Rudolph Wynkoop is 1583e Livingston Ave, Columbus, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Judson Rudolph Wynkoop
Address 1583e Livingston Ave, Columbus, Ohio
Phone Number 6142520936
Fax Number 6142527260
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1760524300
Provider Enumeration Date 2007-02-12
Last Updated Date 2015-12-22

Provider Mailing Address Detail

Address 1583e Livingston Ave
City Columbus
State Ohio (OH)
Post Code 432052930
Phone Number 6142520936
Fax Number 6142527260

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 30-01-7000
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
533266 OH --

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FAQs about Judson Rudolph Wynkoop

What is the unique identification code assigned to Judson Rudolph Wynkoop by the Centers for Medicare & Medicaid Services?

The Judson Rudolph Wynkoop has been issued the NPI (National Provider Identifier) 1760524300. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Judson Rudolph Wynkoop is physically located?

The Judson Rudolph Wynkoop is situated at the following address: 1583E Livingston Ave, Columbus, OH 432052930.

What is Judson Rudolph Wynkoop's area of expertise and its corresponding taxonomy classification?

The Judson Rudolph Wynkoop's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1760524300 to Judson Rudolph Wynkoop?

The Centers for Medicare & Medicaid Services assigned the 1760524300 to Judson Rudolph Wynkoop on 2007-02-12.

As of what date were the details related to Judson Rudolph Wynkoop most recently updated or revised?

The information pertaining to Judson Rudolph Wynkoop, including its address, specialty, and other relevant details, was last updated or revised on 2015-12-22.

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