Kenneth Glass is a General Practice in Prescott, Arizona. Kenneth Glass practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth Glass is 1457543613. The last update date is 2023-05-01.
Kenneth Glass's current location address is 680 Gail Gardner Way, Prescott, Arizona. You can contact this provider via phone number 9284459233 and fax number 9284451758. The mailing address for Kenneth Glass is 680 Gail Gardner Way, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Glass |
|---|---|
| Address | 680 Gail Gardner Way, Prescott, Arizona |
| Phone Number | 9284459233 |
| Fax Number | 9284451758 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1457543613 |
|---|---|
| Provider Enumeration Date | 2007-08-13 |
| Last Updated Date | 2023-05-01 |
Provider Mailing Address Detail
| Address | 680 Gail Gardner Way |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 86305 |
| Phone Number | 9284459233 |
| Fax Number | 9284451758 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 6682 |
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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 unique 10-digit identifier code assigned to Kenneth Glass by the Centers for Medicare & Medicaid Services?
The Kenneth Glass has been issued the NPI (National Provider Identifier) 1457543613 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kenneth Glass's facilities are situated?
The facilities of Kenneth Glass are physically located at the following address: 680 Gail Gardner Way, Prescott, AZ, 86305.
What is Kenneth Glass's area of expertise and its corresponding taxonomy classification?
The Kenneth Glass's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1457543613 assigned to Kenneth Glass?
The Kenneth Glass was issued its 1457543613 on 2007-08-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kenneth Glass most recently updated or revised?
The information pertaining to Kenneth Glass, including its address, specialty, and other relevant details, was last updated or revised on 2023-05-01.
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