Clint Dawson Koen in Conway - General Practice
Clint Dawson Koen - NPI 1629143789
Clint Dawson Koen is a General Practice in Conway, Arkansas. Clint Dawson Koen practices all healthcare services and medical treatments related to General Practice. The NPI Number for Clint Dawson Koen is 1629143789. The last update date is 2014-06-26.
Clint Dawson Koen's current location address is Po Box 11020, Conway, Arkansas. You can contact this provider via phone number 5017300375 and fax number 5017300335. The mailing address for Clint Dawson Koen is Po Box 11020, Conway, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clint Dawson Koen |
|---|---|
| Address | Po Box 11020, Conway, Arkansas |
| Phone Number | 5017300375 |
| Fax Number | 5017300335 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1629143789 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2014-06-26 |
Provider Mailing Address Detail
| Address | Po Box 11020 |
|---|---|
| City | Conway |
| State | Arkansas (AR) |
| Post Code | 720340018 |
| Phone Number | 5017300375 |
| Fax Number | 5017300335 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3587 |
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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 Clint Dawson Koen by the Centers for Medicare & Medicaid Services?
The Clint Dawson Koen has been assigned the NPI (National Provider Identifier) 1629143789 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Clint Dawson Koen?
The Clint Dawson Koen is situated at Po Box 11020, in the city of Conway, state of AR, with the zip code 720340018.
What is Clint Dawson Koen's area of expertise and its corresponding taxonomy classification?
The Clint Dawson Koen'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 did the Clint Dawson Koen receive the assignment of its 1629143789 from the Centers for Medicare & Medicaid Services?
The Clint Dawson Koen was issued its 1629143789 by the Centers for Medicare & Medicaid Services on 2006-11-22.
When was the information related to Clint Dawson Koen most recently updated or refreshed?
The details pertaining to the Clint Dawson Koen, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-06-26.
NPI Number: 1942206313
Address: 1250 N Wenatchee Ave Suite H Pmb 352, Wenatchee, WA