Mark Thomas Keydel in Burlington - Dentist

Mark Thomas Keydel - NPI 1417099920

Mark Thomas Keydel is a Dentist in Burlington, Vermont. Mark Thomas Keydel practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark Thomas Keydel is 1417099920. The last update date is 2007-07-08.

Mark Thomas Keydel's current location address is 52 Colchester Ave, Burlington, Vermont. You can contact this provider via phone number 8028640353 and fax number 8028659414. The mailing address for Mark Thomas Keydel is 52 Colchester Ave, Burlington, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Thomas Keydel
Address 52 Colchester Ave, Burlington, Vermont
Phone Number 8028640353
Fax Number 8028659414
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1417099920
Provider Enumeration Date 2007-02-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 52 Colchester Ave
City Burlington
State Vermont (VT)
Post Code 5401
Phone Number 8028640353
Fax Number 8028659414

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No VT851
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2450 VT --

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FAQs about Mark Thomas Keydel

What is the unique 10-digit identifier code assigned to Mark Thomas Keydel by the Centers for Medicare & Medicaid Services?

The Mark Thomas Keydel has been issued the NPI (National Provider Identifier) 1417099920 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Mark Thomas Keydel is physically located?

The Mark Thomas Keydel is situated at the following address: 52 Colchester Ave, Burlington, VT 5401.

What is Mark Thomas Keydel's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mark Thomas Keydel is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

When did Mark Thomas Keydel receive its 1417099920 assignment?

The Mark Thomas Keydel was assigned its 1417099920 on 2007-02-12, which is the date when this unique identifier was issued to the organization.

When was the information regarding Mark Thomas Keydel, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mark Thomas Keydel, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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