Theodore Eugene Mioduski in Loveland - General Practice
Theodore Eugene Mioduski - NPI 1013955046
Theodore Eugene Mioduski is a General Practice in Loveland, Colorado. Theodore Eugene Mioduski practices all healthcare services and medical treatments related to General Practice. The NPI Number for Theodore Eugene Mioduski is 1013955046. The last update date is 2008-01-04.
Theodore Eugene Mioduski's current location address is 2975 Ginnala Dr Ste 100, Loveland, Colorado. You can contact this provider via phone number 9706631000 and fax number 9706630615. The mailing address for Theodore Eugene Mioduski is 2975 Ginnala Dr Ste 100, Loveland, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Eugene Mioduski |
|---|---|
| Address | 2975 Ginnala Dr Ste 100, Loveland, Colorado |
| Phone Number | 9706631000 |
| Fax Number | 9706630615 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1013955046 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2008-01-04 |
Provider Mailing Address Detail
| Address | 2975 Ginnala Dr Ste 100 |
|---|---|
| City | Loveland |
| State | Colorado (CO) |
| Post Code | 805383300 |
| Phone Number | 9706631000 |
| Fax Number | 9706630615 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | CO105715 |
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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 Theodore Eugene Mioduski's 1013955046?
The Theodore Eugene Mioduski's NPI (National Provider Identifier) Number is 1013955046. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Theodore Eugene Mioduski?
The Theodore Eugene Mioduski is physically situated at 2975 Ginnala Dr Ste 100, in the city of Loveland, state of CO, with the postal code 805383300.
What is Theodore Eugene Mioduski's area of expertise and its corresponding taxonomy classification?
The Theodore Eugene Mioduski's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did Theodore Eugene Mioduski receive its 1013955046 assignment from the Centers for Medicare & Medicaid Services?
The Theodore Eugene Mioduski was assigned its 1013955046 on 2006-06-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Theodore Eugene Mioduski most recently updated or revised?
The information pertaining to Theodore Eugene Mioduski, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-04.