Deric Denroku Ikuta in Reedley - General Practice

Deric Denroku Ikuta - NPI 1760649073

Deric Denroku Ikuta is a General Practice in Reedley, California. Deric Denroku Ikuta practices all healthcare services and medical treatments related to General Practice. The NPI Number for Deric Denroku Ikuta is 1760649073. The last update date is 2015-01-06.

Deric Denroku Ikuta's current location address is 1112 C Street, Reedley, California. You can contact this provider via phone number 5596386321 and fax number 5596385014. The mailing address for Deric Denroku Ikuta is 1112 C Street, Reedley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Deric Denroku Ikuta
Address 1112 C Street, Reedley, California
Phone Number 5596386321
Fax Number 5596385014
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1760649073
Provider Enumeration Date 2008-05-22
Last Updated Date 2015-01-06

Provider Mailing Address Detail

Address 1112 C Street
City Reedley
State California (CA)
Post Code 936543015
Phone Number 5596386321
Fax Number 5596385014

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 53801
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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FAQs about Deric Denroku Ikuta

What is the unique 10-digit identifier code assigned to Deric Denroku Ikuta by the Centers for Medicare & Medicaid Services?

The Deric Denroku Ikuta has been issued the NPI (National Provider Identifier) 1760649073 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Deric Denroku Ikuta is physically located?

The Deric Denroku Ikuta is situated at the following address: 1112 C Street, Reedley, CA 936543015.

What is the Deric Denroku Ikuta's specialty and taxonomy code?

The Deric Denroku Ikuta's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date was the 1760649073 assigned to Deric Denroku Ikuta?

The Deric Denroku Ikuta was issued its 1760649073 on 2008-05-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Deric Denroku Ikuta last refreshed?

The information related to the Deric Denroku Ikuta, including its address, specialty, and other relevant details, was last updated on 2015-01-06.

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