Jon Edvin Holmberg is a Dentist in Enumclaw, Washington. Jon Edvin Holmberg practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jon Edvin Holmberg is 1194886135. The last update date is 2007-07-08.
Jon Edvin Holmberg's current location address is 1837 Wells St, Enumclaw, Washington. You can contact this provider via phone number 3608252081. The mailing address for Jon Edvin Holmberg is 1837 Wells St, Enumclaw, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon Edvin Holmberg |
|---|---|
| Address | 1837 Wells St, Enumclaw, Washington |
| Phone Number | 3608252081 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1194886135 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1837 Wells St |
|---|---|
| City | Enumclaw |
| State | Washington (WA) |
| Post Code | 980223516 |
| Phone Number | 3608252081 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DE00005435 |
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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 identification code issued to Jon Edvin Holmberg by the Centers for Medicare & Medicaid Services?
The Jon Edvin Holmberg has been assigned the NPI (National Provider Identifier) 1194886135 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Jon Edvin Holmberg is physically located?
The Jon Edvin Holmberg is situated at the following address: 1837 Wells St, Enumclaw, WA 980223516.
What is Jon Edvin Holmberg's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jon Edvin Holmberg is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did Jon Edvin Holmberg receive its 1194886135 assignment from the Centers for Medicare & Medicaid Services?
The Jon Edvin Holmberg was assigned its 1194886135 on 2006-12-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jon Edvin Holmberg's information last updated?
The Jon Edvin Holmberg's information was last updated on 2007-07-08.
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