Stacie Maximiek Mitchell in Bloomsburg - Dentist
Stacie Maximiek Mitchell - NPI 1073637930
Stacie Maximiek Mitchell is a Dentist in Bloomsburg, Pennsylvania. Stacie Maximiek Mitchell practices all healthcare services and medical treatments related to Dentist. The NPI Number for Stacie Maximiek Mitchell is 1073637930. The last update date is 2007-07-08.
Stacie Maximiek Mitchell's current location address is 5 Hillside Dr, Bloomsburg, Pennsylvania. You can contact this provider via phone number 5703878680. The mailing address for Stacie Maximiek Mitchell is 5 Hillside Dr, Bloomsburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacie Maximiek Mitchell |
|---|---|
| Address | 5 Hillside Dr, Bloomsburg, Pennsylvania |
| Phone Number | 5703878680 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1073637930 |
|---|---|
| Provider Enumeration Date | 2007-03-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5 Hillside Dr |
|---|---|
| City | Bloomsburg |
| State | Pennsylvania (PA) |
| Post Code | 178157722 |
| Phone Number | 5703878680 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS035256 |
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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 Stacie Maximiek Mitchell?
The Stacie Maximiek Mitchell has been issued the NPI (National Provider Identifier) 1073637930 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Stacie Maximiek Mitchell's physical address?
The Stacie Maximiek Mitchell is physically located at 5 Hillside Dr, in the city of Bloomsburg, PA, with the postal code 178157722.
What is Stacie Maximiek Mitchell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stacie Maximiek Mitchell's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073637930 to Stacie Maximiek Mitchell?
The Centers for Medicare & Medicaid Services assigned the 1073637930 to Stacie Maximiek Mitchell on 2007-03-18.
When was the information regarding Stacie Maximiek Mitchell most recently updated?
The details pertaining to the Stacie Maximiek Mitchell, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.