George Bruce Douglas in Boulder - Endodontics
George Bruce Douglas - NPI 1033117239
George Bruce Douglas is a Endodontics in Boulder, Colorado. George Bruce Douglas practices all healthcare services and medical treatments related to Endodontics. The NPI Number for George Bruce Douglas is 1033117239. The last update date is 2007-07-08.
George Bruce Douglas's current location address is 3100 Arapahoe Ave, Boulder, Colorado. You can contact this provider via phone number 3034496621 and fax number 3034139341. The mailing address for George Bruce Douglas is 3100 Arapahoe Ave, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George Bruce Douglas |
|---|---|
| Address | 3100 Arapahoe Ave, Boulder, Colorado |
| Phone Number | 3034496621 |
| Fax Number | 3034139341 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1033117239 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3100 Arapahoe Ave |
|---|---|
| City | Boulder |
| State | Colorado (CO) |
| Post Code | 803031093 |
| Phone Number | 3034496621 |
| Fax Number | 3034139341 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 104245 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identification code issued to George Bruce Douglas by the Centers for Medicare & Medicaid Services?
The George Bruce Douglas has been assigned the NPI (National Provider Identifier) 1033117239 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of George Bruce Douglas?
The George Bruce Douglas is situated at 3100 Arapahoe Ave, in the city of Boulder, state of CO, with the zip code 803031093.
What is the George Bruce Douglas's specialty and taxonomy code?
The George Bruce Douglas's specialty is Endodontics, and the corresponding taxonomy code is 1223E0200X.
On what date did the George Bruce Douglas receive the assignment of its 1033117239 from the Centers for Medicare & Medicaid Services?
The George Bruce Douglas was issued its 1033117239 by the Centers for Medicare & Medicaid Services on 2005-07-12.
When was the information related to George Bruce Douglas most recently updated or refreshed?
The details pertaining to the George Bruce Douglas, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.