Nicole Serra Van Mieghem in Edmonds - Dentist
Nicole Serra Van Mieghem - NPI 1558436428
Nicole Serra Van Mieghem is a Dentist in Edmonds, Washington. Nicole Serra Van Mieghem practices all healthcare services and medical treatments related to Dentist. The NPI Number for Nicole Serra Van Mieghem is 1558436428. The last update date is 2007-07-08.
Nicole Serra Van Mieghem's current location address is 120 W Dayton St, Edmonds, Washington. You can contact this provider via phone number 4257787477 and fax number 4257780406. The mailing address for Nicole Serra Van Mieghem is 120 W Dayton St, Edmonds, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole Serra Van Mieghem |
|---|---|
| Address | 120 W Dayton St, Edmonds, Washington |
| Phone Number | 4257787477 |
| Fax Number | 4257780406 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1558436428 |
|---|---|
| Provider Enumeration Date | 2006-11-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 120 W Dayton St |
|---|---|
| City | Edmonds |
| State | Washington (WA) |
| Post Code | 980207217 |
| Phone Number | 4257787477 |
| Fax Number | 4257780406 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DE00009160 |
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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 provider identifier assigned to Nicole Serra Van Mieghem?
The Nicole Serra Van Mieghem has been issued the NPI (National Provider Identifier) 1558436428 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Nicole Serra Van Mieghem is physically located?
The Nicole Serra Van Mieghem is physically situated at the following address: 120 W Dayton St, Edmonds, WA, 980207217.
What is Nicole Serra Van Mieghem's area of expertise and its corresponding taxonomy classification?
The Nicole Serra Van Mieghem's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1558436428 assigned to Nicole Serra Van Mieghem?
The Nicole Serra Van Mieghem was issued its 1558436428 on 2006-11-23, 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 Nicole Serra Van Mieghem most recently updated or revised?
The information pertaining to Nicole Serra Van Mieghem, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.