Gary Michael Altenburg in Eagle - Endodontics
Gary Michael Altenburg - NPI 1356558852
Gary Michael Altenburg is a Endodontics in Eagle, Idaho. Gary Michael Altenburg practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Gary Michael Altenburg is 1356558852. The last update date is 2022-07-07.
Gary Michael Altenburg's current location address is 4940 N Soaring Ln, Eagle, Idaho. You can contact this provider via phone number 7609751657. The mailing address for Gary Michael Altenburg is 4940 N Soaring Ln, Eagle, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Michael Altenburg |
|---|---|
| Address | 4940 N Soaring Ln, Eagle, Idaho |
| Phone Number | 7609751657 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1356558852 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2022-07-07 |
Provider Mailing Address Detail
| Address | 4940 N Soaring Ln |
|---|---|
| City | Eagle |
| State | Idaho (ID) |
| Post Code | 836161937 |
| Phone Number | 7609751657 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | D-5078-EN |
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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 Gary Michael Altenburg by the Centers for Medicare & Medicaid Services?
The Gary Michael Altenburg has been issued the NPI (National Provider Identifier) 1356558852 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 Gary Michael Altenburg is physically located?
The Gary Michael Altenburg is physically situated at the following address: 4940 N Soaring Ln, Eagle, ID, 836161937.
What is Gary Michael Altenburg's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gary Michael Altenburg is Endodontics, and the taxonomy code that categorizes this field of expertise is 1223E0200X.
On what date did the Gary Michael Altenburg receive its 1356558852 assignment from the Centers for Medicare & Medicaid Services?
The Gary Michael Altenburg was assigned its 1356558852 by the Centers for Medicare & Medicaid Services on 2007-05-16.
When was the information pertaining to Gary Michael Altenburg most recently updated or revised?
The details related to Gary Michael Altenburg, including its address, specialty, and other relevant information, were last updated or revised on 2022-07-07.