Jennifer L Derse in Scottsdale - General Practice
Jennifer L Derse - NPI 1063470268
Jennifer L Derse is a General Practice in Scottsdale, Arizona. Jennifer L Derse practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jennifer L Derse is 1063470268. The last update date is 2007-07-08.
Jennifer L Derse's current location address is 10630 N Scottsdale Rd, Scottsdale, Arizona. You can contact this provider via phone number 4809483680 and fax number 4809480711. The mailing address for Jennifer L Derse is 10630 N Scottsdale Rd, Scottsdale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer L Derse |
|---|---|
| Address | 10630 N Scottsdale Rd, Scottsdale, Arizona |
| Phone Number | 4809483680 |
| Fax Number | 4809480711 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1063470268 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10630 N Scottsdale Rd |
|---|---|
| City | Scottsdale |
| State | Arizona (AZ) |
| Post Code | 85254 |
| Phone Number | 4809483680 |
| Fax Number | 4809480711 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 6701 |
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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 identification code assigned to Jennifer L Derse by the Centers for Medicare & Medicaid Services?
The Jennifer L Derse has been issued the NPI (National Provider Identifier) 1063470268. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jennifer L Derse is geographically located?
The Jennifer L Derse is physically situated at the following location: 10630 N Scottsdale Rd, Scottsdale, AZ, 85254.
What is Jennifer L Derse's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jennifer L Derse is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063470268 to Jennifer L Derse?
The Centers for Medicare & Medicaid Services originally issued the 1063470268 to Jennifer L Derse on 2006-05-04.
As of what date were the Jennifer L Derse's details last updated?
The information pertaining to the Jennifer L Derse, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1215930425
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