William R. Brodie in Jacksonville - Dentist
William R. Brodie - NPI 1770581027
William R. Brodie is a Dentist in Jacksonville, Oregon. William R. Brodie practices all healthcare services and medical treatments related to Dentist. The NPI Number for William R. Brodie is 1770581027. The last update date is 2007-07-08.
William R. Brodie's current location address is 305 Shafer Ln, Jacksonville, Oregon. You can contact this provider via phone number 5418998833 and fax number 5418991769. The mailing address for William R. Brodie is 305 Shafer Ln, Jacksonville, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William R. Brodie |
|---|---|
| Address | 305 Shafer Ln, Jacksonville, Oregon |
| Phone Number | 5418998833 |
| Fax Number | 5418991769 |
| Sole Proprietor | X |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1770581027 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 305 Shafer Ln |
|---|---|
| City | Jacksonville |
| State | Oregon (OR) |
| Post Code | 975309681 |
| Phone Number | 5418998833 |
| Fax Number | 5418991769 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4502 |
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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 William R. Brodie by the Centers for Medicare & Medicaid Services?
The William R. Brodie has been issued the NPI (National Provider Identifier) 1770581027 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where William R. Brodie is geographically located?
The William R. Brodie is physically situated at the following location: 305 Shafer Ln, Jacksonville, OR, 975309681.
What is William R. Brodie's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for William R. Brodie is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
When was the William R. Brodie's 1770581027 issued?
The William R. Brodie's 1770581027 was issued on 2005-07-11.
As of what date were the William R. Brodie's details last updated?
The information pertaining to the William R. Brodie, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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