Blair John Tudor in Medford - Dentist

Blair John Tudor - NPI 1215114467

Blair John Tudor is a Dentist in Medford, Oregon. Blair John Tudor practices all healthcare services and medical treatments related to Dentist. The NPI Number for Blair John Tudor is 1215114467. The last update date is 2008-01-29.

Blair John Tudor's current location address is 670 Superior Ct, Medford, Oregon. You can contact this provider via phone number 5417796170 and fax number 5417790989. The mailing address for Blair John Tudor is 670 Superior Ct, Medford, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Blair John Tudor
Address 670 Superior Ct, Medford, Oregon
Phone Number 5417796170
Fax Number 5417790989
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1215114467
Provider Enumeration Date 2008-01-29
Last Updated Date 2008-01-29

Provider Mailing Address Detail

Address 670 Superior Ct
City Medford
State Oregon (OR)
Post Code 975046174
Phone Number 5417796170
Fax Number 5417790989

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No D8994
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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FAQs about Blair John Tudor

What is the unique 10-digit identifier code issued to Blair John Tudor by the Centers for Medicare & Medicaid Services?

The Blair John Tudor has been assigned the NPI (National Provider Identifier) 1215114467 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Blair John Tudor's facilities are geographically located?

The facilities of Blair John Tudor are physically situated at the following location: 670 Superior Ct, Medford, OR, 975046174.

What is Blair John Tudor's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Blair John Tudor is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

When did Blair John Tudor receive its 1215114467 assignment?

The Blair John Tudor was assigned its 1215114467 on 2008-01-29, which is the date when this unique identifier was issued to the organization.

When was the information regarding Blair John Tudor most recently updated?

The details pertaining to the Blair John Tudor, including its address, specialty, and other relevant information, were last refreshed on 2008-01-29.

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