Rick Croasdale is a Dentist in Warr Acres, Oklahoma. Rick Croasdale practices all healthcare services and medical treatments related to Dentist. The NPI Number for Rick Croasdale is 1871625871. The last update date is 2007-07-08.
Rick Croasdale's current location address is 5524 Nw 39th St, Warr Acres, Oklahoma. You can contact this provider via phone number 4054955225. The mailing address for Rick Croasdale is 5524 Nw 39th St, Warr Acres, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rick Croasdale |
|---|---|
| Address | 5524 Nw 39th St, Warr Acres, Oklahoma |
| Phone Number | 4054955225 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1871625871 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5524 Nw 39th St |
|---|---|
| City | Warr Acres |
| State | Oklahoma (OK) |
| Post Code | 731222203 |
| Phone Number | 4054955225 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5164 |
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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 assigned to Rick Croasdale by the Centers for Medicare & Medicaid Services?
The Rick Croasdale has been issued the NPI (National Provider Identifier) 1871625871, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Rick Croasdale is physically located?
The Rick Croasdale is physically situated at the following address: 5524 Nw 39Th St, Warr Acres, OK, 731222203.
What is Rick Croasdale's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Rick Croasdale's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
When did the Rick Croasdale receive its 1871625871?
The Rick Croasdale was issued its 1871625871 on 2007-03-12, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Rick Croasdale most recently updated or revised?
The information pertaining to Rick Croasdale, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC