Dellin Richard Bakkum in Spooner - Dentist
Dellin Richard Bakkum - NPI 1558445064
Dellin Richard Bakkum is a Dentist in Spooner, Wisconsin. Dellin Richard Bakkum practices all healthcare services and medical treatments related to Dentist. The NPI Number for Dellin Richard Bakkum is 1558445064. The last update date is 2007-07-08.
Dellin Richard Bakkum's current location address is W7154 Green Valley Road, Spooner, Wisconsin. You can contact this provider via phone number 7156357888 and fax number 7156356313. The mailing address for Dellin Richard Bakkum is W7154 Green Valley Road, Spooner, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Dellin Richard Bakkum |
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Address | W7154 Green Valley Road, Spooner, Wisconsin |
Phone Number | 7156357888 |
Fax Number | 7156356313 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1558445064 |
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Provider Enumeration Date | 2006-10-24 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | W7154 Green Valley Road |
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City | Spooner |
State | Wisconsin (WI) |
Post Code | 54801 |
Phone Number | 7156357888 |
Fax Number | 7156356313 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 2866 |
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 provider identifier assigned to Dellin Richard Bakkum?
The Dellin Richard Bakkum has been issued the NPI (National Provider Identifier) 1558445064 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Dellin Richard Bakkum's facilities are situated?
The facilities of Dellin Richard Bakkum are physically located at the following address: W7154 Green Valley Road, Spooner, WI, 54801.
What is Dellin Richard Bakkum's area of expertise and its corresponding taxonomy classification?
The Dellin Richard Bakkum'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 Dellin Richard Bakkum's 1558445064 issued?
The Dellin Richard Bakkum's 1558445064 was issued on 2006-10-24.
As of what date were the details pertaining to Dellin Richard Bakkum last refreshed?
The information related to the Dellin Richard Bakkum, including its address, specialty, and other relevant details, was last updated on 2007-07-08.