Dirk Glen Prusia in Altamonte Springs - General Practice
Dirk Glen Prusia - NPI 1316049430
Dirk Glen Prusia is a General Practice in Altamonte Springs, Florida. Dirk Glen Prusia practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dirk Glen Prusia is 1316049430. The last update date is 2007-07-08.
Dirk Glen Prusia's current location address is 151 S Wymore Rd, Altamonte Springs, Florida. You can contact this provider via phone number 4078628158 and fax number 4078624811. The mailing address for Dirk Glen Prusia is 151 S Wymore Rd, Altamonte Springs, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dirk Glen Prusia |
|---|---|
| Address | 151 S Wymore Rd, Altamonte Springs, Florida |
| Phone Number | 4078628158 |
| Fax Number | 4078624811 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1316049430 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 151 S Wymore Rd |
|---|---|
| City | Altamonte Springs |
| State | Florida (FL) |
| Post Code | 32714 |
| Phone Number | 4078628158 |
| Fax Number | 4078624811 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 10599 |
|
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 |
|---|---|---|---|
| 60883 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Dirk Glen Prusia by the Centers for Medicare & Medicaid Services?
The Dirk Glen Prusia has been issued the NPI (National Provider Identifier) 1316049430. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Dirk Glen Prusia's physical address?
The Dirk Glen Prusia is physically located at 151 S Wymore Rd, in the city of Altamonte Springs, FL, with the postal code 32714.
What is the Dirk Glen Prusia's area of specialization and corresponding taxonomy classification?
The Dirk Glen Prusia's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Dirk Glen Prusia receive its 1316049430 assignment from the Centers for Medicare & Medicaid Services?
The Dirk Glen Prusia was assigned its 1316049430 by the Centers for Medicare & Medicaid Services on 2006-09-01.
When was the information related to Dirk Glen Prusia most recently updated or refreshed?
The details pertaining to the Dirk Glen Prusia, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1396748448
Address: 100 Metropolitan Drive Associated Medical Professionals, Liverpool, NY
NPI Number: 1952304982
Address: 310 Lafayette Ave Se Ste 410, Grand Rapids, MI
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI