Dan Nydegger is a Dentist in Goodyear, Arizona. Dan Nydegger practices all healthcare services and medical treatments related to Dentist. The NPI Number for Dan Nydegger is 1275663791. The last update date is 2010-01-06.
Dan Nydegger's current location address is 15661 W Roosevelt Pkwy, Goodyear, Arizona. You can contact this provider via phone number 6238821400 and fax number 6238821300. The mailing address for Dan Nydegger is 15661 W Roosevelt Pkwy, Goodyear, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dan Nydegger |
|---|---|
| Address | 15661 W Roosevelt Pkwy, Goodyear, Arizona |
| Phone Number | 6238821400 |
| Fax Number | 6238821300 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1275663791 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2010-01-06 |
Provider Mailing Address Detail
| Address | 15661 W Roosevelt Pkwy |
|---|---|
| City | Goodyear |
| State | Arizona (AZ) |
| Post Code | 853389307 |
| Phone Number | 6238821400 |
| Fax Number | 6238821300 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5540 |
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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 |
|---|---|---|---|
| 619645 | AZ | AHCCCS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dan Nydegger?
The Dan Nydegger has been issued the NPI (National Provider Identifier) 1275663791 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Dan Nydegger located?
The Dan Nydegger is located at 15661 W Roosevelt Pkwy, Goodyear, AZ 853389307.
What is Dan Nydegger's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dan Nydegger is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1275663791 to Dan Nydegger?
The Centers for Medicare & Medicaid Services assigned the 1275663791 to Dan Nydegger on 2007-03-06.
When was the information pertaining to Dan Nydegger most recently updated or revised?
The details related to Dan Nydegger, including its address, specialty, and other relevant information, were last updated or revised on 2010-01-06.