Douglas G. Genninger in Tampa - Dentist

Douglas G. Genninger - NPI 1235333469

Douglas G. Genninger is a Dentist in Tampa, Florida. Douglas G. Genninger practices all healthcare services and medical treatments related to Dentist. The NPI Number for Douglas G. Genninger is 1235333469. The last update date is 2007-07-08.

Douglas G. Genninger's current location address is 1305 W Fletcher Ave, Tampa, Florida. You can contact this provider via phone number 8139684808 and fax number 8139683439. The mailing address for Douglas G. Genninger is 1305 W Fletcher Ave, Tampa, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas G. Genninger
Address 1305 W Fletcher Ave, Tampa, Florida
Phone Number 8139684808
Fax Number 8139683439
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1235333469
Provider Enumeration Date 2007-06-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1305 W Fletcher Ave
City Tampa
State Florida (FL)
Post Code 336123310
Phone Number 8139684808
Fax Number 8139683439

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 9851
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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FAQs about Douglas G. Genninger

What is the unique identifier code issued to Douglas G. Genninger by the Centers for Medicare & Medicaid Services (CMS)?

The Douglas G. Genninger has been assigned the NPI (National Provider Identifier) 1235333469. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Douglas G. Genninger is located?

The Douglas G. Genninger is situated at the following address: 1305 W Fletcher Ave, Tampa, FL, 336123310.

What is the Douglas G. Genninger's specialty and taxonomy code?

The Douglas G. Genninger's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date was the 1235333469 assigned to Douglas G. Genninger?

The Douglas G. Genninger was issued its 1235333469 on 2007-06-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Douglas G. Genninger most recently updated or revised?

The information pertaining to Douglas G. Genninger, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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