S Adele Doherty is a Dentist in Mount Juliet, Tennessee. S Adele Doherty practices all healthcare services and medical treatments related to Dentist. The NPI Number for S Adele Doherty is 1003077108. The last update date is 2008-06-20.
S Adele Doherty's current location address is Po Box 646, Mount Juliet, Tennessee. You can contact this provider via phone number 6158514744. The mailing address for S Adele Doherty is Po Box 646, Mount Juliet, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | S Adele Doherty |
|---|---|
| Address | Po Box 646, Mount Juliet, Tennessee |
| Phone Number | 6158514744 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1003077108 |
|---|---|
| Provider Enumeration Date | 2008-06-20 |
| Last Updated Date | 2008-06-20 |
Provider Mailing Address Detail
| Address | Po Box 646 |
|---|---|
| City | Mount Juliet |
| State | Tennessee (TN) |
| Post Code | 371210646 |
| Phone Number | 6158514744 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4679 |
|
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 |
|---|---|---|---|
| 5870 | TN | -- |
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What is the unique 10-digit identification code issued to S Adele Doherty by the Centers for Medicare & Medicaid Services?
The S Adele Doherty has been assigned the NPI (National Provider Identifier) 1003077108 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where S Adele Doherty is located?
The S Adele Doherty is situated at the following address: Po Box 646, Mount Juliet, TN, 371210646.
What is the S Adele Doherty's specialty and taxonomy code?
The S Adele Doherty's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003077108 to S Adele Doherty?
The Centers for Medicare & Medicaid Services assigned the 1003077108 to S Adele Doherty on 2008-06-20.
As of what date were the S Adele Doherty's details last updated?
The information pertaining to the S Adele Doherty, including its address, specialty, and other details, was most recently updated on 2008-06-20.
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