Kim David Nordberg is a Dentist in Puyallup, Washington. Kim David Nordberg practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kim David Nordberg is 1518015064. The last update date is 2007-07-08.
Kim David Nordberg's current location address is 11023 Canyon Road East, Puyallup, Washington. You can contact this provider via phone number 2535356666 and fax number 2535355432. The mailing address for Kim David Nordberg is 11023 Canyon Road East, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim David Nordberg |
|---|---|
| Address | 11023 Canyon Road East, Puyallup, Washington |
| Phone Number | 2535356666 |
| Fax Number | 2535355432 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1518015064 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11023 Canyon Road East |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 98373 |
| Phone Number | 2535356666 |
| Fax Number | 2535355432 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5301 |
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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 Kim David Nordberg by the Centers for Medicare & Medicaid Services?
The Kim David Nordberg has been issued the NPI (National Provider Identifier) 1518015064. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kim David Nordberg is physically located?
The Kim David Nordberg is physically situated at the following address: 11023 Canyon Road East, Puyallup, WA, 98373.
What is Kim David Nordberg'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 Kim David Nordberg is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
When was the Kim David Nordberg's 1518015064 issued?
The Kim David Nordberg's 1518015064 was issued on 2007-01-08.
When was the information related to Kim David Nordberg most recently updated or refreshed?
The details pertaining to the Kim David Nordberg, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.