Kevin Blake Seddens in Texarkana - General Practice

Kevin Blake Seddens - NPI 1528123569

Kevin Blake Seddens is a General Practice in Texarkana, Arkansas. Kevin Blake Seddens practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kevin Blake Seddens is 1528123569. The last update date is 2012-11-08.

Kevin Blake Seddens's current location address is 1401 Dudley Street, Texarkana, Arkansas. You can contact this provider via phone number 8707732095 and fax number 8707720864. The mailing address for Kevin Blake Seddens is 1401 Dudley Street, Texarkana, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin Blake Seddens
Address 1401 Dudley Street, Texarkana, Arkansas
Phone Number 8707732095
Fax Number 8707720864
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1528123569
Provider Enumeration Date 2006-12-27
Last Updated Date 2012-11-08

Provider Mailing Address Detail

Address 1401 Dudley Street
City Texarkana
State Arkansas (AR)
Post Code 718546331
Phone Number 8707732095
Fax Number 8707720864

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3026
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
122456608 AR --

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FAQs about Kevin Blake Seddens

What is the unique identifier code issued to Kevin Blake Seddens by the Centers for Medicare & Medicaid Services?

The Kevin Blake Seddens has been assigned the NPI (National Provider Identifier) 1528123569. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Kevin Blake Seddens's facilities are geographically located?

The facilities of Kevin Blake Seddens are physically situated at the following location: 1401 Dudley Street, Texarkana, AR, 718546331.

What is Kevin Blake Seddens's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kevin Blake Seddens is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

When was the Kevin Blake Seddens's 1528123569 issued?

The Kevin Blake Seddens's 1528123569 was issued on 2006-12-27.

When was the information pertaining to Kevin Blake Seddens most recently updated or revised?

The details related to Kevin Blake Seddens, including its address, specialty, and other relevant information, were last updated or revised on 2012-11-08.

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