Jerry Michael Carbone in Boise - Endodontics
Jerry Michael Carbone - NPI 1316050628
Jerry Michael Carbone is a Endodontics in Boise, Idaho. Jerry Michael Carbone practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Jerry Michael Carbone is 1316050628. The last update date is 2014-10-01.
Jerry Michael Carbone's current location address is 12249 W Mcmillan Rd, Boise, Idaho. You can contact this provider via phone number 2089172855 and fax number 2082587553. The mailing address for Jerry Michael Carbone is 12249 W Mcmillan Rd, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Michael Carbone |
|---|---|
| Address | 12249 W Mcmillan Rd, Boise, Idaho |
| Phone Number | 2089172855 |
| Fax Number | 2082587553 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1316050628 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2014-10-01 |
Provider Mailing Address Detail
| Address | 12249 W Mcmillan Rd |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837130555 |
| Phone Number | 2089172855 |
| Fax Number | 2082587553 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | D-3642EN |
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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 Jerry Michael Carbone by the Centers for Medicare & Medicaid Services?
The Jerry Michael Carbone has been issued the NPI (National Provider Identifier) 1316050628 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jerry Michael Carbone?
The Jerry Michael Carbone is physically situated at 12249 W Mcmillan Rd, in the city of Boise, state of ID, with the postal code 837130555.
What is Jerry Michael Carbone's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jerry Michael Carbone's area of specialization is Endodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223E0200X.
When did Jerry Michael Carbone receive its 1316050628 assignment?
The Jerry Michael Carbone was assigned its 1316050628 on 2006-08-17, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Jerry Michael Carbone most recently updated or revised?
The details related to Jerry Michael Carbone, including its address, specialty, and other relevant information, were last updated or revised on 2014-10-01.
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