James M Shaddock Dds Pc in Greeley - General Practice
James M Shaddock Dds Pc - NPI 1730256033
James M Shaddock Dds Pc is a General Practice in Greeley, Colorado. James M Shaddock Dds Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for James M Shaddock Dds Pc is 1730256033. The last update date is 2020-08-22.
James M Shaddock Dds Pc's current location address is 3705 W 12th Street, Greeley, Colorado. You can contact this provider via phone number 9703562605 and fax number 9703046804. The mailing address for James M Shaddock Dds Pc is 3705 W 12th Street, Greeley, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | James M Shaddock Dds Pc |
|---|---|
| Address | 3705 W 12th Street, Greeley, Colorado |
| Phone Number | 9703562605 |
| Fax Number | 9703046804 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Shaddock M James |
| Credentials | DDS |
| Telephone Number | 9703562605 |
NPI Number Detail
| NPI Number | 1730256033 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3705 W 12th Street |
|---|---|
| City | Greeley |
| State | Colorado (CO) |
| Post Code | 80634 |
| Phone Number | 9703562605 |
| Fax Number | 9703046804 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 430 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2043016 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to James M Shaddock Dds Pc by the Centers for Medicare & Medicaid Services?
The James M Shaddock Dds Pc has been issued the NPI (National Provider Identifier) 1730256033, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of James M Shaddock Dds Pc?
The James M Shaddock Dds Pc is situated at 3705 W 12Th Street, in the city of Greeley, state of CO, with the zip code 80634.
What is James M Shaddock Dds Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for James M Shaddock Dds Pc is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1730256033 to James M Shaddock Dds Pc?
The Centers for Medicare & Medicaid Services assigned the 1730256033 to James M Shaddock Dds Pc on 2006-11-29.
As of what date were the details related to James M Shaddock Dds Pc most recently updated or revised?
The information pertaining to James M Shaddock Dds Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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