Peter Steven Tommerup in Grants Pass - Dentist
Peter Steven Tommerup - NPI 1225191018
Peter Steven Tommerup is a Dentist in Grants Pass, Oregon. Peter Steven Tommerup practices all healthcare services and medical treatments related to Dentist. The NPI Number for Peter Steven Tommerup is 1225191018. The last update date is 2019-08-28.
Peter Steven Tommerup's current location address is 702 Sw Ramsey Ave Ste 224, Grants Pass, Oregon. You can contact this provider via phone number 8554336825. The mailing address for Peter Steven Tommerup is 702 Sw Ramsey Ave Ste 224, Grants Pass, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Steven Tommerup |
|---|---|
| Address | 702 Sw Ramsey Ave Ste 224, Grants Pass, Oregon |
| Phone Number | 8554336825 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1225191018 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2019-08-28 |
Provider Mailing Address Detail
| Address | 702 Sw Ramsey Ave Ste 224 |
|---|---|
| City | Grants Pass |
| State | Oregon (OR) |
| Post Code | 975275858 |
| Phone Number | 8554336825 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D8586 |
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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 provider identifier assigned to Peter Steven Tommerup?
The Peter Steven Tommerup has been issued the NPI (National Provider Identifier) 1225191018 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Peter Steven Tommerup's facilities are geographically located?
The facilities of Peter Steven Tommerup are physically situated at the following location: 702 Sw Ramsey Ave Ste 224, Grants Pass, OR, 975275858.
What is the area of specialization for Peter Steven Tommerup, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Peter Steven Tommerup is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Peter Steven Tommerup receive the assignment of its 1225191018 from the Centers for Medicare & Medicaid Services?
The Peter Steven Tommerup was issued its 1225191018 by the Centers for Medicare & Medicaid Services on 2006-12-19.
As of what date were the Peter Steven Tommerup's details last updated?
The information pertaining to the Peter Steven Tommerup, including its address, specialty, and other details, was most recently updated on 2019-08-28.
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