Joe Dale Ditterline in Cottonwood - General Practice
Joe Dale Ditterline - NPI 1073688610
Joe Dale Ditterline is a General Practice in Cottonwood, Arizona. Joe Dale Ditterline practices all healthcare services and medical treatments related to General Practice. The NPI Number for Joe Dale Ditterline is 1073688610. The last update date is 2007-07-08.
Joe Dale Ditterline's current location address is 667 E Mingus Ave, Cottonwood, Arizona. You can contact this provider via phone number 9286347585 and fax number 9286347257. The mailing address for Joe Dale Ditterline is 667 E Mingus Ave, Cottonwood, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joe Dale Ditterline |
|---|---|
| Address | 667 E Mingus Ave, Cottonwood, Arizona |
| Phone Number | 9286347585 |
| Fax Number | 9286347257 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1073688610 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 667 E Mingus Ave |
|---|---|
| City | Cottonwood |
| State | Arizona (AZ) |
| Post Code | 863263760 |
| Phone Number | 9286347585 |
| Fax Number | 9286347257 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D4395 |
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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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What is the Joe Dale Ditterline's 1073688610?
The Joe Dale Ditterline's NPI (National Provider Identifier) Number is 1073688610. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Joe Dale Ditterline located?
The Joe Dale Ditterline is located at 667 E Mingus Ave, Cottonwood, AZ 863263760.
What is Joe Dale Ditterline's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Joe Dale Ditterline is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073688610 to Joe Dale Ditterline?
The Centers for Medicare & Medicaid Services assigned the 1073688610 to Joe Dale Ditterline on 2006-11-21.
As of what date were the Joe Dale Ditterline's details last updated?
The information pertaining to the Joe Dale Ditterline, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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