Myra M Stafford in Jasper - General Practice

Myra M Stafford - NPI 1255352233

Myra M Stafford is a General Practice in Jasper, Alabama. Myra M Stafford practices all healthcare services and medical treatments related to General Practice. The NPI Number for Myra M Stafford is 1255352233. The last update date is 2007-07-09.

Myra M Stafford's current location address is 300 North Airport Road, Jasper, Alabama. You can contact this provider via phone number 2052216700 and fax number 2052219194. The mailing address for Myra M Stafford is 300 North Airport Road, Jasper, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Myra M Stafford
Address 300 North Airport Road, Jasper, Alabama
Phone Number 2052216700
Fax Number 2052219194
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1255352233
Provider Enumeration Date 2006-07-22
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 300 North Airport Road
City Jasper
State Alabama (AL)
Post Code 355043850
Phone Number 2052216700
Fax Number 2052219194

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3788
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
51552873 AL BLUE CROSS BLUE SHIELD
139050 AL UNITED CONCORDIA PROVIDER

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FAQs about Myra M Stafford

What is the unique provider identifier assigned to Myra M Stafford?

The Myra M Stafford has been issued the NPI (National Provider Identifier) 1255352233 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Myra M Stafford is geographically located?

The Myra M Stafford is physically situated at the following location: 300 North Airport Road, Jasper, AL, 355043850.

What is the Myra M Stafford's area of specialization and corresponding taxonomy classification?

The Myra M Stafford's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

On what date did the Myra M Stafford receive its 1255352233 assignment from the Centers for Medicare & Medicaid Services?

The Myra M Stafford was assigned its 1255352233 by the Centers for Medicare & Medicaid Services on 2006-07-22.

When was the Myra M Stafford's information last updated?

The Myra M Stafford's information was last updated on 2007-07-09.

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