John Kendall Maravich in Grove - Dentist
John Kendall Maravich - NPI 1356421481
John Kendall Maravich is a Dentist in Grove, Oklahoma. John Kendall Maravich practices all healthcare services and medical treatments related to Dentist. The NPI Number for John Kendall Maravich is 1356421481. The last update date is 2007-07-08.
John Kendall Maravich's current location address is 6826 Highway 59 N, Grove, Oklahoma. You can contact this provider via phone number 9187869061. The mailing address for John Kendall Maravich is 6826 Highway 59 N, Grove, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Kendall Maravich |
|---|---|
| Address | 6826 Highway 59 N, Grove, Oklahoma |
| Phone Number | 9187869061 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1356421481 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6826 Highway 59 N |
|---|---|
| City | Grove |
| State | Oklahoma (OK) |
| Post Code | 743444486 |
| Phone Number | 9187869061 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5433 |
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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 identifier code assigned to John Kendall Maravich by the Centers for Medicare & Medicaid Services?
The John Kendall Maravich has been issued the NPI (National Provider Identifier) 1356421481 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where John Kendall Maravich's facilities are geographically located?
The facilities of John Kendall Maravich are physically situated at the following location: 6826 Highway 59 N, Grove, OK, 743444486.
What is the John Kendall Maravich's specialty and taxonomy code?
The John Kendall Maravich's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the John Kendall Maravich receive the assignment of its 1356421481 from the Centers for Medicare & Medicaid Services?
The John Kendall Maravich was issued its 1356421481 by the Centers for Medicare & Medicaid Services on 2006-10-16.
As of what date were the details pertaining to John Kendall Maravich last refreshed?
The information related to the John Kendall Maravich, including its address, specialty, and other relevant details, was last updated on 2007-07-08.