Tasha N Willoughby in Fredericksburg - Dentist
Tasha N Willoughby - NPI 1184695835
Tasha N Willoughby is a Dentist in Fredericksburg, Virginia. Tasha N Willoughby practices all healthcare services and medical treatments related to Dentist. The NPI Number for Tasha N Willoughby is 1184695835. The last update date is 2023-08-10.
Tasha N Willoughby's current location address is 2557 Cowan Blvd, Fredericksburg, Virginia. You can contact this provider via phone number 5405515550 and fax number 5403710000. The mailing address for Tasha N Willoughby is 2557 Cowan Blvd, Fredericksburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tasha N Willoughby |
|---|---|
| Address | 2557 Cowan Blvd, Fredericksburg, Virginia |
| Phone Number | 5405515550 |
| Fax Number | 5403710000 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1184695835 |
|---|---|
| Provider Enumeration Date | 2006-01-31 |
| Last Updated Date | 2023-08-10 |
Provider Mailing Address Detail
| Address | 2557 Cowan Blvd |
|---|---|
| City | Fredericksburg |
| State | Virginia (VA) |
| Post Code | 224018440 |
| Phone Number | 5405515550 |
| Fax Number | 5403710000 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 401411109 |
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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 |
|---|---|---|---|
| 9179325 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Tasha N Willoughby by the Centers for Medicare & Medicaid Services?
The Tasha N Willoughby has been issued the NPI (National Provider Identifier) 1184695835 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Tasha N Willoughby's facilities are geographically located?
The facilities of Tasha N Willoughby are physically situated at the following location: 2557 Cowan Blvd, Fredericksburg, VA, 224018440.
What is Tasha N Willoughby's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tasha N Willoughby's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184695835 to Tasha N Willoughby?
The Centers for Medicare & Medicaid Services assigned the 1184695835 to Tasha N Willoughby on 2006-01-31.
When was the information pertaining to Tasha N Willoughby most recently updated or revised?
The details related to Tasha N Willoughby, including its address, specialty, and other relevant information, were last updated or revised on 2023-08-10.