Jack Lee Schrader in Sierra Vista - General Practice
Jack Lee Schrader - NPI 1457313579
Jack Lee Schrader is a General Practice in Sierra Vista, Arizona. Jack Lee Schrader practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack Lee Schrader is 1457313579. The last update date is 2007-07-08.
Jack Lee Schrader's current location address is 1900 Paseo San Luis, Sierra Vista, Arizona. You can contact this provider via phone number 5204582415 and fax number 5204580414. The mailing address for Jack Lee Schrader is 1900 Paseo San Luis, Sierra Vista, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Lee Schrader |
|---|---|
| Address | 1900 Paseo San Luis, Sierra Vista, Arizona |
| Phone Number | 5204582415 |
| Fax Number | 5204580414 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1457313579 |
|---|---|
| Provider Enumeration Date | 2006-04-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1900 Paseo San Luis |
|---|---|
| City | Sierra Vista |
| State | Arizona (AZ) |
| Post Code | 856354614 |
| Phone Number | 5204582415 |
| Fax Number | 5204580414 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | AZ2165 |
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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 issued to Jack Lee Schrader by the Centers for Medicare & Medicaid Services?
The Jack Lee Schrader has been assigned the NPI (National Provider Identifier) 1457313579 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jack Lee Schrader's facilities are situated?
The facilities of Jack Lee Schrader are physically located at the following address: 1900 Paseo San Luis, Sierra Vista, AZ, 856354614.
What is the area of specialization for Jack Lee Schrader, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jack Lee Schrader is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
When did Jack Lee Schrader receive its 1457313579 assignment?
The Jack Lee Schrader was assigned its 1457313579 on 2006-04-04, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jack Lee Schrader last refreshed?
The information related to the Jack Lee Schrader, including its address, specialty, and other relevant details, was last updated on 2007-07-08.