Gary Joseph Hendricks in Stevens Point - Dentist
Gary Joseph Hendricks - NPI 1669549606
Gary Joseph Hendricks is a Dentist in Stevens Point, Wisconsin. Gary Joseph Hendricks practices all healthcare services and medical treatments related to Dentist. The NPI Number for Gary Joseph Hendricks is 1669549606. The last update date is 2007-07-08.
Gary Joseph Hendricks's current location address is 1085 Wilshire Boulevard, Stevens Point, Wisconsin. You can contact this provider via phone number 7153447866 and fax number 7153447155. The mailing address for Gary Joseph Hendricks is 1085 Wilshire Boulevard, Stevens Point, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Joseph Hendricks |
|---|---|
| Address | 1085 Wilshire Boulevard, Stevens Point, Wisconsin |
| Phone Number | 7153447866 |
| Fax Number | 7153447155 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1669549606 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1085 Wilshire Boulevard |
|---|---|
| City | Stevens Point |
| State | Wisconsin (WI) |
| Post Code | 54481 |
| Phone Number | 7153447866 |
| Fax Number | 7153447155 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5140 |
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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 Gary Joseph Hendricks by the Centers for Medicare & Medicaid Services?
The Gary Joseph Hendricks has been assigned the NPI (National Provider Identifier) 1669549606. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Gary Joseph Hendricks's facilities are situated?
The facilities of Gary Joseph Hendricks are physically located at the following address: 1085 Wilshire Boulevard, Stevens Point, WI, 54481.
What is Gary Joseph Hendricks's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gary Joseph Hendricks is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Gary Joseph Hendricks receive the assignment of its 1669549606 from the Centers for Medicare & Medicaid Services?
The Gary Joseph Hendricks was issued its 1669549606 by the Centers for Medicare & Medicaid Services on 2006-11-28.
As of what date were the Gary Joseph Hendricks's details last updated?
The information pertaining to the Gary Joseph Hendricks, including its address, specialty, and other details, was most recently updated on 2007-07-08.