David John Vanderboom in Bloomfield - General Practice

David John Vanderboom - NPI 1295867992

David John Vanderboom is a General Practice in Bloomfield, Connecticut. David John Vanderboom practices all healthcare services and medical treatments related to General Practice. The NPI Number for David John Vanderboom is 1295867992. The last update date is 2007-07-08.

David John Vanderboom's current location address is 46 Republic Dr, Bloomfield, Connecticut. You can contact this provider via phone number 6174710223. The mailing address for David John Vanderboom is 46 Republic Dr, Bloomfield, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name David John Vanderboom
Address 46 Republic Dr, Bloomfield, Connecticut
Phone Number 6174710223
Fax Number
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1295867992
Provider Enumeration Date 2007-03-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 46 Republic Dr
City Bloomfield
State Connecticut (CT)
Post Code 60025455
Phone Number 6174710223
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 21684
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 David John Vanderboom

What is the unique identifier code issued to David John Vanderboom by the Centers for Medicare & Medicaid Services?

The David John Vanderboom has been assigned the NPI (National Provider Identifier) 1295867992. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where David John Vanderboom's facilities are situated?

The facilities of David John Vanderboom are physically located at the following address: 46 Republic Dr, Bloomfield, CT, 60025455.

What is David John Vanderboom's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The David John Vanderboom's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

When did David John Vanderboom receive its 1295867992 assignment?

The David John Vanderboom was assigned its 1295867992 on 2007-03-09, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to David John Vanderboom most recently updated or revised?

The details related to David John Vanderboom, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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