Larson Russell Keso in Oklahoma City - Dentist
Larson Russell Keso - NPI 1386710242
Larson Russell Keso is a Dentist in Oklahoma City, Oklahoma. Larson Russell Keso practices all healthcare services and medical treatments related to Dentist. The NPI Number for Larson Russell Keso is 1386710242. The last update date is 2007-07-08.
Larson Russell Keso's current location address is 3501 Northwest 50th, Oklahoma City, Oklahoma. You can contact this provider via phone number 4059438333 and fax number 4059471579. The mailing address for Larson Russell Keso is 3501 Northwest 50th, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larson Russell Keso |
|---|---|
| Address | 3501 Northwest 50th, Oklahoma City, Oklahoma |
| Phone Number | 4059438333 |
| Fax Number | 4059471579 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1386710242 |
|---|---|
| Provider Enumeration Date | 2006-11-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3501 Northwest 50th |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731125699 |
| Phone Number | 4059438333 |
| Fax Number | 4059471579 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2625 |
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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 identifier code issued to Larson Russell Keso by the Centers for Medicare & Medicaid Services (CMS)?
The Larson Russell Keso has been assigned the NPI (National Provider Identifier) 1386710242. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Larson Russell Keso?
The Larson Russell Keso is physically situated at 3501 Northwest 50Th, in the city of Oklahoma City, state of OK, with the postal code 731125699.
What is the Larson Russell Keso's area of specialization and corresponding taxonomy classification?
The Larson Russell Keso's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date was the 1386710242 assigned to Larson Russell Keso?
The Larson Russell Keso was issued its 1386710242 on 2006-11-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Larson Russell Keso's information last updated?
The Larson Russell Keso's information was last updated on 2007-07-08.