Judith Conkling Fales in Groton - General Practice
Judith Conkling Fales - NPI 1437167822
Judith Conkling Fales is a General Practice in Groton, Connecticut. Judith Conkling Fales practices all healthcare services and medical treatments related to General Practice. The NPI Number for Judith Conkling Fales is 1437167822. The last update date is 2007-07-08.
Judith Conkling Fales's current location address is 491 Gold Star Hwy, Groton, Connecticut. You can contact this provider via phone number 8604451330. The mailing address for Judith Conkling Fales is 491 Gold Star Hwy, Groton, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith Conkling Fales |
|---|---|
| Address | 491 Gold Star Hwy, Groton, Connecticut |
| Phone Number | 8604451330 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1437167822 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 491 Gold Star Hwy |
|---|---|
| City | Groton |
| State | Connecticut (CT) |
| Post Code | 63406226 |
| Phone Number | 8604451330 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5517 |
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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 unique 10-digit identifier code assigned to Judith Conkling Fales by the Centers for Medicare & Medicaid Services?
The Judith Conkling Fales has been issued the NPI (National Provider Identifier) 1437167822 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Judith Conkling Fales is located?
The Judith Conkling Fales is situated at the following address: 491 Gold Star Hwy, Groton, CT, 63406226.
What is Judith Conkling Fales's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Judith Conkling Fales is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1437167822 to Judith Conkling Fales?
The Centers for Medicare & Medicaid Services assigned the 1437167822 to Judith Conkling Fales on 2006-08-03.
When was the information pertaining to Judith Conkling Fales most recently updated or revised?
The details related to Judith Conkling Fales, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.