Rodney Wayne Childress in Santa Maria - General Practice
Rodney Wayne Childress - NPI 1962589275
Rodney Wayne Childress is a General Practice in Santa Maria, California. Rodney Wayne Childress practices all healthcare services and medical treatments related to General Practice. The NPI Number for Rodney Wayne Childress is 1962589275. The last update date is 2007-07-08.
Rodney Wayne Childress's current location address is 2166 Lake Marie Dr, Santa Maria, California. You can contact this provider via phone number 8059378933 and fax number 8053466511. The mailing address for Rodney Wayne Childress is 2166 Lake Marie Dr, Santa Maria, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rodney Wayne Childress |
|---|---|
| Address | 2166 Lake Marie Dr, Santa Maria, California |
| Phone Number | 8059378933 |
| Fax Number | 8053466511 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1962589275 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2166 Lake Marie Dr |
|---|---|
| City | Santa Maria |
| State | California (CA) |
| Post Code | 934555717 |
| Phone Number | 8059378933 |
| Fax Number | 8053466511 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 26608 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Rodney Wayne Childress by the Centers for Medicare & Medicaid Services?
The Rodney Wayne Childress has been issued the NPI (National Provider Identifier) 1962589275 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Rodney Wayne Childress?
The Rodney Wayne Childress is situated at 2166 Lake Marie Dr, in the city of Santa Maria, state of CA, with the zip code 934555717.
What is the Rodney Wayne Childress's specialty and taxonomy code?
The Rodney Wayne Childress's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date was the 1962589275 assigned to Rodney Wayne Childress?
The Rodney Wayne Childress was issued its 1962589275 on 2006-11-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Rodney Wayne Childress, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Rodney Wayne Childress, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.