Phillip Edward Isaacman in Cordova - Dentist
Phillip Edward Isaacman - NPI 1629148630
Phillip Edward Isaacman is a Dentist in Cordova, Tennessee. Phillip Edward Isaacman practices all healthcare services and medical treatments related to Dentist. The NPI Number for Phillip Edward Isaacman is 1629148630. The last update date is 2007-07-08.
Phillip Edward Isaacman's current location address is 315 S Walnut Bend Rd, Cordova, Tennessee. You can contact this provider via phone number 9017554006 and fax number 9013090749. The mailing address for Phillip Edward Isaacman is 315 S Walnut Bend Rd, Cordova, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip Edward Isaacman |
|---|---|
| Address | 315 S Walnut Bend Rd, Cordova, Tennessee |
| Phone Number | 9017554006 |
| Fax Number | 9013090749 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1629148630 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 315 S Walnut Bend Rd |
|---|---|
| City | Cordova |
| State | Tennessee (TN) |
| Post Code | 380187216 |
| Phone Number | 9017554006 |
| Fax Number | 9013090749 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 8570 |
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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 Phillip Edward Isaacman's unique identification number?
The Phillip Edward Isaacman has been assigned the NPI (National Provider Identifier) Number 1629148630 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Phillip Edward Isaacman is located?
The Phillip Edward Isaacman is situated at the following address: 315 S Walnut Bend Rd, Cordova, TN, 380187216.
What is Phillip Edward Isaacman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Phillip Edward Isaacman's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Phillip Edward Isaacman receive the assignment of its 1629148630 from the Centers for Medicare & Medicaid Services?
The Phillip Edward Isaacman was issued its 1629148630 by the Centers for Medicare & Medicaid Services on 2006-11-08.
When was the information regarding Phillip Edward Isaacman most recently updated?
The details pertaining to the Phillip Edward Isaacman, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX