Stephen L Ericksen in American Fork - Dentist
Stephen L Ericksen - NPI 1194807156
Stephen L Ericksen is a Dentist in American Fork, Utah. Stephen L Ericksen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Stephen L Ericksen is 1194807156. The last update date is 2023-05-24.
Stephen L Ericksen's current location address is 895 N 900 E, American Fork, Utah. You can contact this provider via phone number 8017634164. The mailing address for Stephen L Ericksen is 895 N 900 E, American Fork, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen L Ericksen |
|---|---|
| Address | 895 N 900 E, American Fork, Utah |
| Phone Number | 8017634164 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1194807156 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2023-05-24 |
Provider Mailing Address Detail
| Address | 895 N 900 E |
|---|---|
| City | American Fork |
| State | Utah (UT) |
| Post Code | 840039183 |
| Phone Number | 8017634164 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DEND1161 |
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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 |
|---|---|---|---|
| DD5568 | AK | -- | |
| 1161 | AK | LICENSED DENTIST | |
| 5314850-9922 | UT | LICENSED DENTIST |
Post Comment/ Review Below
What is the unique identifier code issued to Stephen L Ericksen by the Centers for Medicare & Medicaid Services (CMS)?
The Stephen L Ericksen has been assigned the NPI (National Provider Identifier) 1194807156. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Stephen L Ericksen is physically located?
The Stephen L Ericksen is physically situated at the following address: 895 N 900 E, American Fork, UT, 840039183.
What is the area of specialization for Stephen L Ericksen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stephen L Ericksen is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
When did Stephen L Ericksen receive its 1194807156 assignment?
The Stephen L Ericksen was assigned its 1194807156 on 2006-10-19, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Stephen L Ericksen most recently updated or revised?
The details related to Stephen L Ericksen, including its address, specialty, and other relevant information, were last updated or revised on 2023-05-24.