Jared Doman is a Dentist in Longview, Washington. Jared Doman practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jared Doman is 1700051760. The last update date is 2023-03-29.
Jared Doman's current location address is 620 Triangle Shopping Ctr Ste 660, Longview, Washington. You can contact this provider via phone number 3608038003 and fax number 3602830864. The mailing address for Jared Doman is 620 Triangle Shopping Ctr Ste 660, Longview, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jared Doman |
|---|---|
| Address | 620 Triangle Shopping Ctr Ste 660, Longview, Washington |
| Phone Number | 3608038003 |
| Fax Number | 3602830864 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1700051760 |
|---|---|
| Provider Enumeration Date | 2008-04-29 |
| Last Updated Date | 2023-03-29 |
Provider Mailing Address Detail
| Address | 620 Triangle Shopping Ctr Ste 660 |
|---|---|
| City | Longview |
| State | Washington (WA) |
| Post Code | 986324690 |
| Phone Number | 3608038003 |
| Fax Number | 3602830864 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DE00011054 |
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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 assigned to Jared Doman by the Centers for Medicare & Medicaid Services?
The Jared Doman has been issued the NPI (National Provider Identifier) 1700051760, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jared Doman is physically located?
The Jared Doman is situated at the following address: 620 Triangle Shopping Ctr Ste 660, Longview, WA 986324690.
What is Jared Doman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jared Doman'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 Jared Doman receive its 1700051760 assignment from the Centers for Medicare & Medicaid Services?
The Jared Doman was assigned its 1700051760 by the Centers for Medicare & Medicaid Services on 2008-04-29.
As of what date were the details pertaining to Jared Doman last refreshed?
The information related to the Jared Doman, including its address, specialty, and other relevant details, was last updated on 2023-03-29.
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