Sean Zachary Gore in Little Rock - Dentist
Sean Zachary Gore - NPI 1124289210
Sean Zachary Gore is a Dentist in Little Rock, Arkansas. Sean Zachary Gore practices all healthcare services and medical treatments related to Dentist. The NPI Number for Sean Zachary Gore is 1124289210. The last update date is 2008-06-20.
Sean Zachary Gore's current location address is 11 Office Park Dr, Little Rock, Arkansas. You can contact this provider via phone number 5012252929. The mailing address for Sean Zachary Gore is 11 Office Park Dr, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sean Zachary Gore |
|---|---|
| Address | 11 Office Park Dr, Little Rock, Arkansas |
| Phone Number | 5012252929 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1124289210 |
|---|---|
| Provider Enumeration Date | 2008-06-20 |
| Last Updated Date | 2008-06-20 |
Provider Mailing Address Detail
| Address | 11 Office Park Dr |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722113843 |
| Phone Number | 5012252929 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3673 |
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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 |
|---|---|---|---|
| 3673 | AR | ARKANSAS STATE DENTAL BOARD |
Post Comment/ Review Below
What is the Sean Zachary Gore's 1124289210?
The Sean Zachary Gore's NPI (National Provider Identifier) Number is 1124289210. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Sean Zachary Gore located?
The Sean Zachary Gore is located at 11 Office Park Dr, Little Rock, AR 722113843.
What is Sean Zachary Gore's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sean Zachary Gore is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Sean Zachary Gore receive the assignment of its 1124289210 from the Centers for Medicare & Medicaid Services?
The Sean Zachary Gore was issued its 1124289210 by the Centers for Medicare & Medicaid Services on 2008-06-20.
As of what date were the Sean Zachary Gore's details last updated?
The information pertaining to the Sean Zachary Gore, including its address, specialty, and other details, was most recently updated on 2008-06-20.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA