Mckinley T Self in Bainbridge Island - Dentist
Mckinley T Self - NPI 1518007723
Mckinley T Self is a Dentist in Bainbridge Island, Washington. Mckinley T Self practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mckinley T Self is 1518007723. The last update date is 2014-05-20.
Mckinley T Self's current location address is 9902 Ne Monsaas Rd, Bainbridge Island, Washington. You can contact this provider via phone number 3604640779. The mailing address for Mckinley T Self is 9902 Ne Monsaas Rd, Bainbridge Island, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mckinley T Self |
|---|---|
| Address | 9902 Ne Monsaas Rd, Bainbridge Island, Washington |
| Phone Number | 3604640779 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1518007723 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2014-05-20 |
Provider Mailing Address Detail
| Address | 9902 Ne Monsaas Rd |
|---|---|
| City | Bainbridge Island |
| State | Washington (WA) |
| Post Code | 981101103 |
| Phone Number | 3604640779 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DE00010260 |
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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 identifier code issued to Mckinley T Self by the Centers for Medicare & Medicaid Services (CMS)?
The Mckinley T Self has been assigned the NPI (National Provider Identifier) 1518007723. 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 Mckinley T Self is physically located?
The Mckinley T Self is physically situated at the following address: 9902 Ne Monsaas Rd, Bainbridge Island, WA, 981101103.
What is Mckinley T Self's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mckinley T Self'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 issue the 1518007723 to Mckinley T Self?
The Mckinley T Self received its 1518007723 assignment from the Centers for Medicare & Medicaid Services on 2007-02-07.
When was the information regarding Mckinley T Self most recently updated?
The details pertaining to the Mckinley T Self, including its address, specialty, and other relevant information, were last refreshed on 2014-05-20.
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