Douglas Alan Krueger in Appleton - Dentist
Douglas Alan Krueger - NPI 1548489610
Douglas Alan Krueger is a Dentist in Appleton, Wisconsin. Douglas Alan Krueger practices all healthcare services and medical treatments related to Dentist. The NPI Number for Douglas Alan Krueger is 1548489610. The last update date is 2007-07-08.
Douglas Alan Krueger's current location address is 821 E 1st Ave, Appleton, Wisconsin. You can contact this provider via phone number 9207342414 and fax number 9207348722. The mailing address for Douglas Alan Krueger is 821 E 1st Ave, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Alan Krueger |
|---|---|
| Address | 821 E 1st Ave, Appleton, Wisconsin |
| Phone Number | 9207342414 |
| Fax Number | 9207348722 |
| Sole Proprietor | Y |
| Credentials | D.D.SS. |
NPI Number Detail
| NPI Number | 1548489610 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 821 E 1st Ave |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549111501 |
| Phone Number | 9207342414 |
| Fax Number | 9207348722 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1212 G. WIS |
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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 identifier code issued to Douglas Alan Krueger by the Centers for Medicare & Medicaid Services?
The Douglas Alan Krueger has been assigned the NPI (National Provider Identifier) 1548489610. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Douglas Alan Krueger's facilities are geographically located?
The facilities of Douglas Alan Krueger are physically situated at the following location: 821 E 1St Ave, Appleton, WI, 549111501.
What is Douglas Alan Krueger's specialized field of practice, and what is the corresponding taxonomy classification code?
The Douglas Alan Krueger's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did Douglas Alan Krueger receive its 1548489610 assignment from the Centers for Medicare & Medicaid Services?
The Douglas Alan Krueger was assigned its 1548489610 on 2007-04-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Douglas Alan Krueger most recently updated or revised?
The details related to Douglas Alan Krueger, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.