Edmise Forestal in Pueblo - General Practice

Edmise Forestal - NPI 1497726590

Edmise Forestal is a General Practice in Pueblo, Colorado. Edmise Forestal practices all healthcare services and medical treatments related to General Practice. The NPI Number for Edmise Forestal is 1497726590. The last update date is 2007-07-09.

Edmise Forestal's current location address is 415 N Grand Ave, Pueblo, Colorado. You can contact this provider via phone number 7195831800 and fax number 7195831801. The mailing address for Edmise Forestal is 415 N Grand Ave, Pueblo, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Edmise Forestal
Address 415 N Grand Ave, Pueblo, Colorado
Phone Number 7195831800
Fax Number 7195831801
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1497726590
Provider Enumeration Date 2006-01-28
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 415 N Grand Ave
City Pueblo
State Colorado (CO)
Post Code 810033111
Phone Number 7195831800
Fax Number 7195831801

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 52278
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9184483 NY DORAL
2772094 NY --
10115236 NY CDPHP

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FAQs about Edmise Forestal

What is the unique identifier code issued to Edmise Forestal by the Centers for Medicare & Medicaid Services?

The Edmise Forestal has been assigned the NPI (National Provider Identifier) 1497726590. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Edmise Forestal's facilities are geographically located?

The facilities of Edmise Forestal are physically situated at the following location: 415 N Grand Ave, Pueblo, CO, 810033111.

What is Edmise Forestal's area of expertise and its corresponding taxonomy classification?

The Edmise Forestal'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 the Centers for Medicare & Medicaid Services issue the 1497726590 to Edmise Forestal?

The Edmise Forestal received its 1497726590 assignment from the Centers for Medicare & Medicaid Services on 2006-01-28.

As of what date were the Edmise Forestal's details last updated?

The information pertaining to the Edmise Forestal, including its address, specialty, and other details, was most recently updated on 2007-07-09.

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