Kristopher Anthony Portacci in Mobile - General Practice

Kristopher Anthony Portacci - NPI 1174524870

Kristopher Anthony Portacci is a General Practice in Mobile, Alabama. Kristopher Anthony Portacci practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kristopher Anthony Portacci is 1174524870. The last update date is 2007-09-19.

Kristopher Anthony Portacci's current location address is 2 North Florida Street, Mobile, Alabama. You can contact this provider via phone number 2514789164 and fax number 2514735618. The mailing address for Kristopher Anthony Portacci is 2 North Florida Street, Mobile, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristopher Anthony Portacci
Address 2 North Florida Street, Mobile, Alabama
Phone Number 2514789164
Fax Number 2514735618
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1174524870
Provider Enumeration Date 2005-08-03
Last Updated Date 2007-09-19

Provider Mailing Address Detail

Address 2 North Florida Street
City Mobile
State Alabama (AL)
Post Code 366073108
Phone Number 2514789164
Fax Number 2514735618

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5596
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.

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FAQs about Kristopher Anthony Portacci

What is the Kristopher Anthony Portacci's unique identification number?

The Kristopher Anthony Portacci has been assigned the NPI (National Provider Identifier) Number 1174524870 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Kristopher Anthony Portacci's facilities are geographically located?

The facilities of Kristopher Anthony Portacci are physically situated at the following location: 2 North Florida Street, Mobile, AL, 366073108.

What is Kristopher Anthony Portacci's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kristopher Anthony Portacci is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1174524870 to Kristopher Anthony Portacci?

The Centers for Medicare & Medicaid Services originally issued the 1174524870 to Kristopher Anthony Portacci on 2005-08-03.

As of what date were the details pertaining to Kristopher Anthony Portacci last refreshed?

The information related to the Kristopher Anthony Portacci, including its address, specialty, and other relevant details, was last updated on 2007-09-19.

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