Martin Harrod Staley in Johnstown - Dentist

Martin Harrod Staley - NPI 1962598276

Martin Harrod Staley is a Dentist in Johnstown, Pennsylvania. Martin Harrod Staley practices all healthcare services and medical treatments related to Dentist. The NPI Number for Martin Harrod Staley is 1962598276. The last update date is 2007-07-08.

Martin Harrod Staley's current location address is 300 Cherry Lane, Johnstown, Pennsylvania. You can contact this provider via phone number 8142662316. The mailing address for Martin Harrod Staley is 300 Cherry Lane, Johnstown, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Martin Harrod Staley
Address 300 Cherry Lane, Johnstown, Pennsylvania
Phone Number 8142662316
Fax Number
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1962598276
Provider Enumeration Date 2006-10-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 300 Cherry Lane
City Johnstown
State Pennsylvania (PA)
Post Code 15904
Phone Number 8142662316
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DS020910L
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6325800003 PA ACCESS MA PROVIDER ID
138959 UNITED CONCORDIA

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FAQs about Martin Harrod Staley

What is the unique provider identifier assigned to Martin Harrod Staley?

The Martin Harrod Staley has been issued the NPI (National Provider Identifier) 1962598276 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Martin Harrod Staley is physically located?

The Martin Harrod Staley is physically situated at the following address: 300 Cherry Lane, Johnstown, PA, 15904.

What is the area of specialization for Martin Harrod Staley, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Martin Harrod Staley is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1962598276 to Martin Harrod Staley?

The Centers for Medicare & Medicaid Services originally issued the 1962598276 to Martin Harrod Staley on 2006-10-05.

When was the information regarding Martin Harrod Staley most recently updated?

The details pertaining to the Martin Harrod Staley, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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