John Keith Pecotte is a Dentist in Madison, Wisconsin. John Keith Pecotte practices all healthcare services and medical treatments related to Dentist. The NPI Number for John Keith Pecotte is 1245419092. The last update date is 2007-10-29.
John Keith Pecotte's current location address is 317 Knutson Dr, Madison, Wisconsin. You can contact this provider via phone number 6083011830. The mailing address for John Keith Pecotte is 317 Knutson Dr, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Keith Pecotte |
|---|---|
| Address | 317 Knutson Dr, Madison, Wisconsin |
| Phone Number | 6083011830 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1245419092 |
|---|---|
| Provider Enumeration Date | 2007-10-29 |
| Last Updated Date | 2007-10-29 |
Provider Mailing Address Detail
| Address | 317 Knutson Dr |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537041133 |
| Phone Number | 6083011830 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5001953-015 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33424000 | WI | -- |
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What is the unique 10-digit identification code issued to John Keith Pecotte by the Centers for Medicare & Medicaid Services?
The John Keith Pecotte has been assigned the NPI (National Provider Identifier) 1245419092 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where John Keith Pecotte is located?
The John Keith Pecotte is situated at the following address: 317 Knutson Dr, Madison, WI, 537041133.
What is John Keith Pecotte's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Keith Pecotte's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the John Keith Pecotte receive the assignment of its 1245419092 from the Centers for Medicare & Medicaid Services?
The John Keith Pecotte was issued its 1245419092 by the Centers for Medicare & Medicaid Services on 2007-10-29.
As of what date were the John Keith Pecotte's details last updated?
The information pertaining to the John Keith Pecotte, including its address, specialty, and other details, was most recently updated on 2007-10-29.