Terry Dorsey Balthazor in Woodland Park - General Practice

Terry Dorsey Balthazor - NPI 1457453151

Terry Dorsey Balthazor is a General Practice in Woodland Park, Colorado. Terry Dorsey Balthazor practices all healthcare services and medical treatments related to General Practice. The NPI Number for Terry Dorsey Balthazor is 1457453151. The last update date is 2007-07-08.

Terry Dorsey Balthazor's current location address is 491 Forest Edge Road, Woodland Park, Colorado. You can contact this provider via phone number 7196876366 and fax number 7196876388. The mailing address for Terry Dorsey Balthazor is 491 Forest Edge Road, Woodland Park, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Terry Dorsey Balthazor
Address 491 Forest Edge Road, Woodland Park, Colorado
Phone Number 7196876366
Fax Number 7196876388
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1457453151
Provider Enumeration Date 2006-09-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 491 Forest Edge Road
City Woodland Park
State Colorado (CO)
Post Code 808632499
Phone Number 7196876366
Fax Number 7196876388

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5456
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 Terry Dorsey Balthazor

What is the Terry Dorsey Balthazor's unique identification number?

The Terry Dorsey Balthazor has been assigned the NPI (National Provider Identifier) Number 1457453151 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Terry Dorsey Balthazor's facilities are situated?

The facilities of Terry Dorsey Balthazor are physically located at the following address: 491 Forest Edge Road, Woodland Park, CO, 808632499.

What is Terry Dorsey Balthazor's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Terry Dorsey Balthazor is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did Terry Dorsey Balthazor receive its 1457453151 assignment from the Centers for Medicare & Medicaid Services?

The Terry Dorsey Balthazor was assigned its 1457453151 on 2006-09-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Terry Dorsey Balthazor, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Terry Dorsey Balthazor, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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