Chad Stephen Silvertooth in Kilgore - Dentist
Chad Stephen Silvertooth - NPI 1083877609
Chad Stephen Silvertooth is a Dentist in Kilgore, Texas. Chad Stephen Silvertooth practices all healthcare services and medical treatments related to Dentist. The NPI Number for Chad Stephen Silvertooth is 1083877609. The last update date is 2008-07-04.
Chad Stephen Silvertooth's current location address is 705 Carlisle Dr, Kilgore, Texas. You can contact this provider via phone number 9039831919. The mailing address for Chad Stephen Silvertooth is 705 Carlisle Dr, Kilgore, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chad Stephen Silvertooth |
|---|---|
| Address | 705 Carlisle Dr, Kilgore, Texas |
| Phone Number | 9039831919 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1083877609 |
|---|---|
| Provider Enumeration Date | 2008-07-03 |
| Last Updated Date | 2008-07-04 |
Provider Mailing Address Detail
| Address | 705 Carlisle Dr |
|---|---|
| City | Kilgore |
| State | Texas (TX) |
| Post Code | 756626005 |
| Phone Number | 9039831919 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 24062 |
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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 |
|---|---|---|---|
| 24062 | TX | TEXAS LICENSE |
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What is the unique identification code assigned to Chad Stephen Silvertooth by the Centers for Medicare & Medicaid Services?
The Chad Stephen Silvertooth has been issued the NPI (National Provider Identifier) 1083877609. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Chad Stephen Silvertooth?
The Chad Stephen Silvertooth is situated at 705 Carlisle Dr, in the city of Kilgore, state of TX, with the zip code 756626005.
What is the Chad Stephen Silvertooth's area of specialization and corresponding taxonomy classification?
The Chad Stephen Silvertooth's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083877609 to Chad Stephen Silvertooth?
The Centers for Medicare & Medicaid Services originally issued the 1083877609 to Chad Stephen Silvertooth on 2008-07-03.
As of what date were the details related to Chad Stephen Silvertooth most recently updated or revised?
The information pertaining to Chad Stephen Silvertooth, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-04.
NPI Number: 1962405878
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