Stephanie A Kavanaugh in Issaquah - Dentist
Stephanie A Kavanaugh - NPI 1811084833
Stephanie A Kavanaugh is a Dentist in Issaquah, Washington. Stephanie A Kavanaugh practices all healthcare services and medical treatments related to Dentist. The NPI Number for Stephanie A Kavanaugh is 1811084833. The last update date is 2007-07-08.
Stephanie A Kavanaugh's current location address is 85 Nw Alder Place, Issaquah, Washington. You can contact this provider via phone number 4253910191. The mailing address for Stephanie A Kavanaugh is 85 Nw Alder Place, Issaquah, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie A Kavanaugh |
|---|---|
| Address | 85 Nw Alder Place, Issaquah, Washington |
| Phone Number | 4253910191 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD MSD PL |
NPI Number Detail
| NPI Number | 1811084833 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 85 Nw Alder Place |
|---|---|
| City | Issaquah |
| State | Washington (WA) |
| Post Code | 98027 |
| Phone Number | 4253910191 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6002 |
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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 Stephanie A Kavanaugh by the Centers for Medicare & Medicaid Services?
The Stephanie A Kavanaugh has been issued the NPI (National Provider Identifier) 1811084833 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Stephanie A Kavanaugh's facilities are situated?
The facilities of Stephanie A Kavanaugh are physically located at the following address: 85 Nw Alder Place, Issaquah, WA, 98027.
What is the Stephanie A Kavanaugh's specialty and taxonomy code?
The Stephanie A Kavanaugh's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did Stephanie A Kavanaugh receive its 1811084833 assignment from the Centers for Medicare & Medicaid Services?
The Stephanie A Kavanaugh was assigned its 1811084833 on 2006-10-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Stephanie A Kavanaugh last refreshed?
The information related to the Stephanie A Kavanaugh, including its address, specialty, and other relevant details, was last updated on 2007-07-08.