John Edward Carssow in Redmond - Dentist

John Edward Carssow - NPI 1235203902

John Edward Carssow is a Dentist in Redmond, Washington. John Edward Carssow practices all healthcare services and medical treatments related to Dentist. The NPI Number for John Edward Carssow is 1235203902. The last update date is 2007-07-08.

John Edward Carssow's current location address is 15955 Ne 85th Street, Redmond, Washington. You can contact this provider via phone number 4258821150 and fax number 4258850146. The mailing address for John Edward Carssow is 15955 Ne 85th Street, Redmond, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name John Edward Carssow
Address 15955 Ne 85th Street, Redmond, Washington
Phone Number 4258821150
Fax Number 4258850146
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1235203902
Provider Enumeration Date 2006-11-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 15955 Ne 85th Street
City Redmond
State Washington (WA)
Post Code 980523550
Phone Number 4258821150
Fax Number 4258850146

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 4603
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5002233 WA --

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FAQs about John Edward Carssow

What is the unique 10-digit identifier code issued to John Edward Carssow by the Centers for Medicare & Medicaid Services?

The John Edward Carssow has been assigned the NPI (National Provider Identifier) 1235203902 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of John Edward Carssow?

The John Edward Carssow is situated at 15955 Ne 85Th Street, in the city of Redmond, state of WA, with the zip code 980523550.

What is the John Edward Carssow's area of specialization and corresponding taxonomy classification?

The John Edward Carssow's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1235203902 to John Edward Carssow?

The Centers for Medicare & Medicaid Services assigned the 1235203902 to John Edward Carssow on 2006-11-17.

When was the information regarding John Edward Carssow, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to John Edward Carssow, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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