Glenn Clifford Blum in Modesto - General Practice
Glenn Clifford Blum - NPI 1154496289
Glenn Clifford Blum is a General Practice in Modesto, California. Glenn Clifford Blum practices all healthcare services and medical treatments related to General Practice. The NPI Number for Glenn Clifford Blum is 1154496289. The last update date is 2007-07-08.
Glenn Clifford Blum's current location address is 1308 Celeste Dr, Modesto, California. You can contact this provider via phone number 2095762884 and fax number 2095762412. The mailing address for Glenn Clifford Blum is 1308 Celeste Dr, Modesto, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Glenn Clifford Blum |
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Address | 1308 Celeste Dr, Modesto, California |
Phone Number | 2095762884 |
Fax Number | 2095762412 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1154496289 |
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Provider Enumeration Date | 2006-11-22 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1308 Celeste Dr |
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City | Modesto |
State | California (CA) |
Post Code | 953552402 |
Phone Number | 2095762884 |
Fax Number | 2095762412 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 29713 |
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 Glenn Clifford Blum by the Centers for Medicare & Medicaid Services?
The Glenn Clifford Blum has been assigned the NPI (National Provider Identifier) 1154496289 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Glenn Clifford Blum is located?
The Glenn Clifford Blum is situated at the following address: 1308 Celeste Dr, Modesto, CA, 953552402.
What is the Glenn Clifford Blum's specialty and taxonomy code?
The Glenn Clifford Blum's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154496289 to Glenn Clifford Blum?
The Glenn Clifford Blum received its 1154496289 assignment from the Centers for Medicare & Medicaid Services on 2006-11-22.
As of what date was the information regarding Glenn Clifford Blum, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Glenn Clifford Blum, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.