Jodi W Funk is a Dentist in Spokane, Washington. Jodi W Funk practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jodi W Funk is 1679648539. The last update date is 2007-07-08.
Jodi W Funk's current location address is 2829 S Grand Blvd, Spokane, Washington. You can contact this provider via phone number 5097474242 and fax number 5097473512. The mailing address for Jodi W Funk is 2829 S Grand Blvd, Spokane, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jodi W Funk |
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Address | 2829 S Grand Blvd, Spokane, Washington |
Phone Number | 5097474242 |
Fax Number | 5097473512 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1679648539 |
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Provider Enumeration Date | 2006-11-22 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2829 S Grand Blvd |
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City | Spokane |
State | Washington (WA) |
Post Code | 99203 |
Phone Number | 5097474242 |
Fax Number | 5097473512 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | DE00001693 |
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 |
---|---|---|---|
5031091 | WA | DEPT OF SOCIAL & HEALTH |
Post Comment/ Review Below
What is the Jodi W Funk's 1679648539?
The Jodi W Funk's NPI (National Provider Identifier) Number is 1679648539. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jodi W Funk's facilities are geographically located?
The facilities of Jodi W Funk are physically situated at the following location: 2829 S Grand Blvd, Spokane, WA, 99203.
What is Jodi W Funk's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jodi W Funk's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
When did the Jodi W Funk receive its 1679648539?
The Jodi W Funk was issued its 1679648539 on 2006-11-22, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Jodi W Funk last refreshed?
The information related to the Jodi W Funk, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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