Ray E Colclasure in Pine Bluff - General Practice
Ray E Colclasure - NPI 1962420067
Ray E Colclasure is a General Practice in Pine Bluff, Arkansas. Ray E Colclasure practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ray E Colclasure is 1962420067. The last update date is 2007-07-08.
Ray E Colclasure's current location address is 550 W 46th Ave, Pine Bluff, Arkansas. You can contact this provider via phone number 8705364567 and fax number 8705363580. The mailing address for Ray E Colclasure is 550 W 46th Ave, Pine Bluff, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ray E Colclasure |
|---|---|
| Address | 550 W 46th Ave, Pine Bluff, Arkansas |
| Phone Number | 8705364567 |
| Fax Number | 8705363580 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1962420067 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 550 W 46th Ave |
|---|---|
| City | Pine Bluff |
| State | Arkansas (AR) |
| Post Code | 716037134 |
| Phone Number | 8705364567 |
| Fax Number | 8705363580 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2047 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 98892 | AR | UNITED CONCORDIA PROVIDER | |
| 58101 | AR | AR BLUE CROSS BLUE SHEILD |
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What is the unique 10-digit identifier code issued to Ray E Colclasure by the Centers for Medicare & Medicaid Services?
The Ray E Colclasure has been assigned the NPI (National Provider Identifier) 1962420067 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 address where Ray E Colclasure is geographically located?
The Ray E Colclasure is physically situated at the following location: 550 W 46Th Ave, Pine Bluff, AR, 716037134.
What is the Ray E Colclasure's area of specialization and corresponding taxonomy classification?
The Ray E Colclasure's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
When did the Ray E Colclasure receive its 1962420067?
The Ray E Colclasure was issued its 1962420067 on 2006-07-17, which is the date when the organization was assigned this unique identifier.
When was the information regarding Ray E Colclasure most recently updated?
The details pertaining to the Ray E Colclasure, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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