R Blake Edmonds is a Dentist in Philadelphia, Pennsylvania. R Blake Edmonds practices all healthcare services and medical treatments related to Dentist. The NPI Number for R Blake Edmonds is 1285857342. The last update date is 2007-07-08.
R Blake Edmonds's current location address is 1501 E Wadsworth Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2152471040 and fax number 2152471647. The mailing address for R Blake Edmonds is 1501 E Wadsworth Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | R Blake Edmonds |
|---|---|
| Address | 1501 E Wadsworth Ave, Philadelphia, Pennsylvania |
| Phone Number | 2152471040 |
| Fax Number | 2152471647 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1285857342 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1501 E Wadsworth Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191501615 |
| Phone Number | 2152471040 |
| Fax Number | 2152471647 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS19126L |
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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 R Blake Edmonds by the Centers for Medicare & Medicaid Services?
The R Blake Edmonds has been issued the NPI (National Provider Identifier) 1285857342 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the R Blake Edmonds's physical address?
The R Blake Edmonds is physically located at 1501 E Wadsworth Ave, in the city of Philadelphia, PA, with the postal code 191501615.
What is the area of specialization for R Blake Edmonds, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for R Blake Edmonds is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did R Blake Edmonds receive its 1285857342 assignment from the Centers for Medicare & Medicaid Services?
The R Blake Edmonds was assigned its 1285857342 on 2007-04-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding R Blake Edmonds, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to R Blake Edmonds, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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