Stephen Todd Phelan in Rogers - General Practice
Stephen Todd Phelan - NPI 1508924903
Stephen Todd Phelan is a General Practice in Rogers, Arkansas. Stephen Todd Phelan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stephen Todd Phelan is 1508924903. The last update date is 2008-05-06.
Stephen Todd Phelan's current location address is 2102 W Pleasant Grove Rd, Rogers, Arkansas. You can contact this provider via phone number 4796363400. The mailing address for Stephen Todd Phelan is 2102 W Pleasant Grove Rd, Rogers, Arkansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stephen Todd Phelan |
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Address | 2102 W Pleasant Grove Rd, Rogers, Arkansas |
Phone Number | 4796363400 |
Fax Number | |
Sole Proprietor | N |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1508924903 |
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Provider Enumeration Date | 2006-12-05 |
Last Updated Date | 2008-05-06 |
Provider Mailing Address Detail
Address | 2102 W Pleasant Grove Rd |
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City | Rogers |
State | Arkansas (AR) |
Post Code | 727588242 |
Phone Number | 4796363400 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 3489 |
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 |
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5Y261 | AR | BCBS NUMBER | |
163953608 | AR | -- |
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What is the unique 10-digit identifier code assigned to Stephen Todd Phelan by the Centers for Medicare & Medicaid Services?
The Stephen Todd Phelan has been issued the NPI (National Provider Identifier) 1508924903 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Stephen Todd Phelan?
The Stephen Todd Phelan is physically situated at 2102 W Pleasant Grove Rd, in the city of Rogers, state of AR, with the postal code 727588242.
What is the Stephen Todd Phelan's area of specialization and corresponding taxonomy classification?
The Stephen Todd Phelan's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Stephen Todd Phelan receive the assignment of its 1508924903 from the Centers for Medicare & Medicaid Services?
The Stephen Todd Phelan was issued its 1508924903 by the Centers for Medicare & Medicaid Services on 2006-12-05.
As of what date was the information regarding Stephen Todd Phelan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stephen Todd Phelan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-06.
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