Tammy Marie Boudry in Fond Du Lac - Dentist
Tammy Marie Boudry - NPI 1548489966
Tammy Marie Boudry is a Dentist in Fond Du Lac, Wisconsin. Tammy Marie Boudry practices all healthcare services and medical treatments related to Dentist. The NPI Number for Tammy Marie Boudry is 1548489966. The last update date is 2007-07-08.
Tammy Marie Boudry's current location address is Po Box 1323, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209210158. The mailing address for Tammy Marie Boudry is Po Box 1323, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tammy Marie Boudry |
|---|---|
| Address | Po Box 1323, Fond Du Lac, Wisconsin |
| Phone Number | 9209210158 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1548489966 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1323 |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549361323 |
| Phone Number | 9209210158 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6050 - 15 |
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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 Tammy Marie Boudry by the Centers for Medicare & Medicaid Services?
The Tammy Marie Boudry has been issued the NPI (National Provider Identifier) 1548489966 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Tammy Marie Boudry?
The Tammy Marie Boudry is physically situated at Po Box 1323, in the city of Fond Du Lac, state of WI, with the postal code 549361323.
What is Tammy Marie Boudry's area of expertise and its corresponding taxonomy classification?
The Tammy Marie Boudry's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
When was the Tammy Marie Boudry's 1548489966 issued?
The Tammy Marie Boudry's 1548489966 was issued on 2007-04-24.
As of what date was the information regarding Tammy Marie Boudry, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tammy Marie Boudry, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.