Keenan R. Decker D.M.D. in Lowell - General Practice

Keenan R. Decker D.M.D. - NPI 1497920573

Keenan R. Decker D.M.D. is a General Practice in Lowell, Arkansas. Keenan R. Decker D.M.D. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Keenan R. Decker D.M.D. is 1497920573. The last update date is 2008-04-29.

Keenan R. Decker D.M.D.'s current location address is Po Box 1037, Lowell, Arkansas. You can contact this provider via phone number 4797704333 and fax number 4797704334. The mailing address for Keenan R. Decker D.M.D. is Po Box 1037, Lowell, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Keenan R. Decker D.M.D.
Address Po Box 1037, Lowell, Arkansas
Phone Number 4797704333
Fax Number 4797704334
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST
Authorized Official Name Decker R Keenan
Credentials D.M.D.
Telephone Number 4797704333

NPI Number Detail

NPI Number 1497920573
Provider Enumeration Date 2008-04-29
Last Updated Date 2008-04-29

Provider Mailing Address Detail

Address Po Box 1037
City Lowell
State Arkansas (AR)
Post Code 727451037
Phone Number 4797704333
Fax Number 4797704334

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5S900 AR BLUE CROSS BLUE SHIELD

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FAQs about Keenan R. Decker D.M.D.

What is the Keenan R. Decker D.M.D.'s 1497920573?

The Keenan R. Decker D.M.D.'s NPI (National Provider Identifier) Number is 1497920573. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Keenan R. Decker D.M.D.'s facilities are situated?

The facilities of Keenan R. Decker D.M.D. are physically located at the following address: Po Box 1037, Lowell, AR, 727451037.

What is Keenan R. Decker D.M.D.'s area of expertise and its corresponding taxonomy classification?

The Keenan R. Decker D.M.D.'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 Keenan R. Decker D.M.D. receive the assignment of its 1497920573 from the Centers for Medicare & Medicaid Services?

The Keenan R. Decker D.M.D. was issued its 1497920573 by the Centers for Medicare & Medicaid Services on 2008-04-29.

When was the information regarding Keenan R. Decker D.M.D., such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Keenan R. Decker D.M.D., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-29.

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