Kenneth Wayne Stilts in Morro Bay - General Practice
Kenneth Wayne Stilts - NPI 1972701498
Kenneth Wayne Stilts is a General Practice in Morro Bay, California. Kenneth Wayne Stilts practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth Wayne Stilts is 1972701498. The last update date is 2007-07-08.
Kenneth Wayne Stilts's current location address is 545 Main St, Morro Bay, California. You can contact this provider via phone number 8057722731 and fax number 8057722733. The mailing address for Kenneth Wayne Stilts is 545 Main St, Morro Bay, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Wayne Stilts |
|---|---|
| Address | 545 Main St, Morro Bay, California |
| Phone Number | 8057722731 |
| Fax Number | 8057722733 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1972701498 |
|---|---|
| Provider Enumeration Date | 2007-07-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 545 Main St |
|---|---|
| City | Morro Bay |
| State | California (CA) |
| Post Code | 934422522 |
| Phone Number | 8057722731 |
| Fax Number | 8057722733 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 21289 |
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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 Kenneth Wayne Stilts by the Centers for Medicare & Medicaid Services?
The Kenneth Wayne Stilts has been assigned the NPI (National Provider Identifier) 1972701498 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Kenneth Wayne Stilts's physical address?
The Kenneth Wayne Stilts is physically located at 545 Main St, in the city of Morro Bay, CA, with the postal code 934422522.
What is the area of specialization for Kenneth Wayne Stilts, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth Wayne Stilts is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Kenneth Wayne Stilts receive its 1972701498 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Wayne Stilts was assigned its 1972701498 by the Centers for Medicare & Medicaid Services on 2007-07-05.
As of what date was the information regarding Kenneth Wayne Stilts, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kenneth Wayne Stilts, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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