Jennifer Marie Stidham in Bartow - General Practice
Jennifer Marie Stidham - NPI 1396843330
Jennifer Marie Stidham is a General Practice in Bartow, Florida. Jennifer Marie Stidham practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jennifer Marie Stidham is 1396843330. The last update date is 2007-07-08.
Jennifer Marie Stidham's current location address is 620 E Davidson St, Bartow, Florida. You can contact this provider via phone number 8635334331 and fax number 8635341168. The mailing address for Jennifer Marie Stidham is 620 E Davidson St, Bartow, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Marie Stidham |
|---|---|
| Address | 620 E Davidson St, Bartow, Florida |
| Phone Number | 8635334331 |
| Fax Number | 8635341168 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1396843330 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 620 E Davidson St |
|---|---|
| City | Bartow |
| State | Florida (FL) |
| Post Code | 338304051 |
| Phone Number | 8635334331 |
| Fax Number | 8635341168 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 10646 |
|
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. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jennifer Marie Stidham by the Centers for Medicare & Medicaid Services?
The Jennifer Marie Stidham has been issued the NPI (National Provider Identifier) 1396843330 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jennifer Marie Stidham is physically located?
The Jennifer Marie Stidham is situated at the following address: 620 E Davidson St, Bartow, FL 338304051.
What is Jennifer Marie Stidham's area of expertise and its corresponding taxonomy classification?
The Jennifer Marie Stidham'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 was the 1396843330 assigned to Jennifer Marie Stidham?
The Jennifer Marie Stidham was issued its 1396843330 on 2006-09-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jennifer Marie Stidham's details last updated?
The information pertaining to the Jennifer Marie Stidham, including its address, specialty, and other details, was most recently updated on 2007-07-08.