Ernest James Dewald in Clarksville - Dentist
Ernest James Dewald - NPI 1265415996
Ernest James Dewald is a Dentist in Clarksville, Tennessee. Ernest James Dewald practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ernest James Dewald is 1265415996. The last update date is 2007-07-08.
Ernest James Dewald's current location address is 1301 Peachers Mill Rd, Clarksville, Tennessee. You can contact this provider via phone number 9315729152 and fax number 9315729155. The mailing address for Ernest James Dewald is 1301 Peachers Mill Rd, Clarksville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ernest James Dewald |
|---|---|
| Address | 1301 Peachers Mill Rd, Clarksville, Tennessee |
| Phone Number | 9315729152 |
| Fax Number | 9315729155 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1265415996 |
|---|---|
| Provider Enumeration Date | 2005-11-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1301 Peachers Mill Rd |
|---|---|
| City | Clarksville |
| State | Tennessee (TN) |
| Post Code | 370424610 |
| Phone Number | 9315729152 |
| Fax Number | 9315729155 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS006850 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 719384 | UNITED CONCORDIA | ||
| 174736 | BCBS OF TN | ||
| 18148 | DORAL |
Post Comment/ Review Below
What is the Ernest James Dewald's unique identification number?
The Ernest James Dewald has been assigned the NPI (National Provider Identifier) Number 1265415996 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Ernest James Dewald's physical address?
The Ernest James Dewald is physically located at 1301 Peachers Mill Rd, in the city of Clarksville, TN, with the postal code 370424610.
What is Ernest James Dewald's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ernest James Dewald is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265415996 to Ernest James Dewald?
The Centers for Medicare & Medicaid Services originally issued the 1265415996 to Ernest James Dewald on 2005-11-28.
As of what date were the Ernest James Dewald's details last updated?
The information pertaining to the Ernest James Dewald, including its address, specialty, and other details, was most recently updated on 2007-07-08.