Deidra B Kokel is a Dentist in Leesburg, Virginia. Deidra B Kokel practices all healthcare services and medical treatments related to Dentist. The NPI Number for Deidra B Kokel is 1780719484. The last update date is 2020-08-22.
Deidra B Kokel's current location address is 17 C Fort Evans Road Ne, Leesburg, Virginia. You can contact this provider via phone number 7037775025 and fax number 7037774106. The mailing address for Deidra B Kokel is 17 C Fort Evans Road Ne, Leesburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Deidra B Kokel |
|---|---|
| Address | 17 C Fort Evans Road Ne, Leesburg, Virginia |
| Phone Number | 7037775025 |
| Fax Number | 7037774106 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRES |
|---|---|
| Authorized Official Name | Kokel B Deidra |
| Credentials | DDS PC |
| Telephone Number | 7037775025 |
NPI Number Detail
| NPI Number | 1780719484 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 17 C Fort Evans Road Ne |
|---|---|
| City | Leesburg |
| State | Virginia (VA) |
| Post Code | 20176 |
| Phone Number | 7037775025 |
| Fax Number | 7037774106 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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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What is the unique 10-digit identifier code assigned to Deidra B Kokel by the Centers for Medicare & Medicaid Services?
The Deidra B Kokel has been issued the NPI (National Provider Identifier) 1780719484 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Deidra B Kokel?
The Deidra B Kokel is situated at 17 C Fort Evans Road Ne, in the city of Leesburg, state of VA, with the zip code 20176.
What is the Deidra B Kokel's specialty and taxonomy code?
The Deidra B Kokel's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780719484 to Deidra B Kokel?
The Centers for Medicare & Medicaid Services originally issued the 1780719484 to Deidra B Kokel on 2007-02-22.
As of what date were the details related to Deidra B Kokel most recently updated or revised?
The information pertaining to Deidra B Kokel, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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