Douglas E Idema is a Dentist in Sioux Falls, South Dakota. Douglas E Idema practices all healthcare services and medical treatments related to Dentist. The NPI Number for Douglas E Idema is 1285709394. The last update date is 2007-07-08.
Douglas E Idema's current location address is 2521 S Western Ave, Sioux Falls, South Dakota. You can contact this provider via phone number 6053361967 and fax number 6057311860. The mailing address for Douglas E Idema is 2521 S Western Ave, Sioux Falls, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas E Idema |
|---|---|
| Address | 2521 S Western Ave, Sioux Falls, South Dakota |
| Phone Number | 6053361967 |
| Fax Number | 6057311860 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1285709394 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2521 S Western Ave |
|---|---|
| City | Sioux Falls |
| State | South Dakota (SD) |
| Post Code | 57105 |
| Phone Number | 6053361967 |
| Fax Number | 6057311860 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | M266 |
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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 |
|---|---|---|---|
| 7800750 | SD | -- |
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What is the unique identification code assigned to Douglas E Idema by the Centers for Medicare & Medicaid Services?
The Douglas E Idema has been issued the NPI (National Provider Identifier) 1285709394. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Douglas E Idema's physical address?
The Douglas E Idema is physically located at 2521 S Western Ave, in the city of Sioux Falls, SD, with the postal code 57105.
What is Douglas E Idema's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Douglas E Idema is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
When did the Douglas E Idema receive its 1285709394?
The Douglas E Idema was issued its 1285709394 on 2006-11-22, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Douglas E Idema last refreshed?
The information related to the Douglas E Idema, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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