Keith Rey Redd is a Dentist in Bremerton, Washington. Keith Rey Redd practices all healthcare services and medical treatments related to Dentist. The NPI Number for Keith Rey Redd is 1275645996. The last update date is 2008-11-06.
Keith Rey Redd's current location address is 930 Park Ave, Bremerton, Washington. You can contact this provider via phone number 3603777621 and fax number 3603776465. The mailing address for Keith Rey Redd is 930 Park Ave, Bremerton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Rey Redd |
|---|---|
| Address | 930 Park Ave, Bremerton, Washington |
| Phone Number | 3603777621 |
| Fax Number | 3603776465 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1275645996 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2008-11-06 |
Provider Mailing Address Detail
| Address | 930 Park Ave |
|---|---|
| City | Bremerton |
| State | Washington (WA) |
| Post Code | 98337 |
| Phone Number | 3603777621 |
| Fax Number | 3603776465 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5610 |
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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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What is the unique identification code assigned to Keith Rey Redd by the Centers for Medicare & Medicaid Services?
The Keith Rey Redd has been issued the NPI (National Provider Identifier) 1275645996. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Keith Rey Redd's facilities are geographically located?
The facilities of Keith Rey Redd are physically situated at the following location: 930 Park Ave, Bremerton, WA, 98337.
What is Keith Rey Redd's specialized field of practice, and what is the corresponding taxonomy classification code?
The Keith Rey Redd's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275645996 to Keith Rey Redd?
The Keith Rey Redd received its 1275645996 assignment from the Centers for Medicare & Medicaid Services on 2006-08-31.
When was the information regarding Keith Rey Redd most recently updated?
The details pertaining to the Keith Rey Redd, including its address, specialty, and other relevant information, were last refreshed on 2008-11-06.
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