Roger Paul Valliere in Fort Wayne - Dentist
Roger Paul Valliere - NPI 1013116706
Roger Paul Valliere is a Dentist in Fort Wayne, Indiana. Roger Paul Valliere practices all healthcare services and medical treatments related to Dentist. The NPI Number for Roger Paul Valliere is 1013116706. The last update date is 2017-06-29.
Roger Paul Valliere's current location address is 1330 E State Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604845614. The mailing address for Roger Paul Valliere is 1330 E State Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Paul Valliere |
|---|---|
| Address | 1330 E State Blvd, Fort Wayne, Indiana |
| Phone Number | 2604845614 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1013116706 |
|---|---|
| Provider Enumeration Date | 2007-07-13 |
| Last Updated Date | 2017-06-29 |
Provider Mailing Address Detail
| Address | 1330 E State Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468054422 |
| Phone Number | 2604845614 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12010249A |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Roger Paul Valliere by the Centers for Medicare & Medicaid Services (CMS)?
The Roger Paul Valliere has been assigned the NPI (National Provider Identifier) 1013116706. 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 Roger Paul Valliere is located?
The Roger Paul Valliere is situated at the following address: 1330 E State Blvd, Fort Wayne, IN, 468054422.
What is the area of specialization for Roger Paul Valliere, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Roger Paul Valliere is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013116706 to Roger Paul Valliere?
The Centers for Medicare & Medicaid Services assigned the 1013116706 to Roger Paul Valliere on 2007-07-13.
As of what date were the Roger Paul Valliere's details last updated?
The information pertaining to the Roger Paul Valliere, including its address, specialty, and other details, was most recently updated on 2017-06-29.