Tara Helen Ericson is a Dentist in Kingston, Tennessee. Tara Helen Ericson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Tara Helen Ericson is 1598921827. The last update date is 2012-09-26.
Tara Helen Ericson's current location address is 1203 Old North Kentucky St, Kingston, Tennessee. You can contact this provider via phone number 8657173586. The mailing address for Tara Helen Ericson is 1203 Old North Kentucky St, Kingston, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Helen Ericson |
|---|---|
| Address | 1203 Old North Kentucky St, Kingston, Tennessee |
| Phone Number | 8657173586 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1598921827 |
|---|---|
| Provider Enumeration Date | 2008-08-06 |
| Last Updated Date | 2012-09-26 |
Provider Mailing Address Detail
| Address | 1203 Old North Kentucky St |
|---|---|
| City | Kingston |
| State | Tennessee (TN) |
| Post Code | 377632028 |
| Phone Number | 8657173586 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 57389 |
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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 |
|---|---|---|---|
| 1518433 | TN | -- |
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What is the unique identifier code issued to Tara Helen Ericson by the Centers for Medicare & Medicaid Services?
The Tara Helen Ericson has been assigned the NPI (National Provider Identifier) 1598921827. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Tara Helen Ericson located?
The Tara Helen Ericson is located at 1203 Old North Kentucky St, Kingston, TN 377632028.
What is Tara Helen Ericson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tara Helen Ericson is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date was the 1598921827 assigned to Tara Helen Ericson?
The Tara Helen Ericson was issued its 1598921827 on 2008-08-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Tara Helen Ericson last refreshed?
The information related to the Tara Helen Ericson, including its address, specialty, and other relevant details, was last updated on 2012-09-26.
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