Jim Patrick Sandras in Tuscaloosa - General Practice

Jim Patrick Sandras - NPI 1063553816

Jim Patrick Sandras is a General Practice in Tuscaloosa, Alabama. Jim Patrick Sandras practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jim Patrick Sandras is 1063553816. The last update date is 2007-07-08.

Jim Patrick Sandras's current location address is 4851 Rice Mine Rd Ne, Tuscaloosa, Alabama. You can contact this provider via phone number 2053439393. The mailing address for Jim Patrick Sandras is 4851 Rice Mine Rd Ne, Tuscaloosa, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Jim Patrick Sandras
Address 4851 Rice Mine Rd Ne, Tuscaloosa, Alabama
Phone Number 2053439393
Fax Number
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1063553816
Provider Enumeration Date 2007-02-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4851 Rice Mine Rd Ne
City Tuscaloosa
State Alabama (AL)
Post Code 354063547
Phone Number 2053439393
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5513
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 Jim Patrick Sandras

What is the Jim Patrick Sandras's 1063553816?

The Jim Patrick Sandras's NPI (National Provider Identifier) Number is 1063553816. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Jim Patrick Sandras's facilities are situated?

The facilities of Jim Patrick Sandras are physically located at the following address: 4851 Rice Mine Rd Ne, Tuscaloosa, AL, 354063547.

What is the Jim Patrick Sandras's area of specialization and corresponding taxonomy classification?

The Jim Patrick Sandras'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 Centers for Medicare & Medicaid Services originally issue the 1063553816 to Jim Patrick Sandras?

The Centers for Medicare & Medicaid Services originally issued the 1063553816 to Jim Patrick Sandras on 2007-02-12.

As of what date were the details related to Jim Patrick Sandras most recently updated or revised?

The information pertaining to Jim Patrick Sandras, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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