Kevin R Jurecko is a Endodontics in Lake City, Florida. Kevin R Jurecko practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Kevin R Jurecko is 1578615027. The last update date is 2007-07-08.
Kevin R Jurecko's current location address is 2086 Sw Main Blvd, Lake City, Florida. You can contact this provider via phone number 3867586050 and fax number 3867587742. The mailing address for Kevin R Jurecko is 2086 Sw Main Blvd, Lake City, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin R Jurecko |
|---|---|
| Address | 2086 Sw Main Blvd, Lake City, Florida |
| Phone Number | 3867586050 |
| Fax Number | 3867587742 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1578615027 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2086 Sw Main Blvd |
|---|---|
| City | Lake City |
| State | Florida (FL) |
| Post Code | 320250005 |
| Phone Number | 3867586050 |
| Fax Number | 3867587742 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 5418 |
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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 identifier code assigned to Kevin R Jurecko by the Centers for Medicare & Medicaid Services?
The Kevin R Jurecko has been issued the NPI (National Provider Identifier) 1578615027 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Kevin R Jurecko is physically located?
The Kevin R Jurecko is physically situated at the following address: 2086 Sw Main Blvd, Lake City, FL, 320250005.
What is Kevin R Jurecko's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kevin R Jurecko's area of specialization is Endodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223E0200X.
On what date was the 1578615027 assigned to Kevin R Jurecko?
The Kevin R Jurecko was issued its 1578615027 on 2007-01-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kevin R Jurecko, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kevin R Jurecko, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.