Eugene Katibah in Jacksonville - General Practice
Eugene Katibah - NPI 1457499410
Eugene Katibah is a General Practice in Jacksonville, Florida. Eugene Katibah practices all healthcare services and medical treatments related to General Practice. The NPI Number for Eugene Katibah is 1457499410. The last update date is 2007-07-08.
Eugene Katibah's current location address is 943 Cesery Blvd, Jacksonville, Florida. You can contact this provider via phone number 9047446244. The mailing address for Eugene Katibah is 943 Cesery Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eugene Katibah |
|---|---|
| Address | 943 Cesery Blvd, Jacksonville, Florida |
| Phone Number | 9047446244 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1457499410 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 943 Cesery Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 3221156350 |
| Phone Number | 9047446244 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3347 |
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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 provider identifier assigned to Eugene Katibah?
The Eugene Katibah has been issued the NPI (National Provider Identifier) 1457499410 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Eugene Katibah's physical address?
The Eugene Katibah is physically located at 943 Cesery Blvd, in the city of Jacksonville, FL, with the postal code 3221156350.
What is Eugene Katibah's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Eugene Katibah is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date was the 1457499410 assigned to Eugene Katibah?
The Eugene Katibah was issued its 1457499410 on 2007-02-02, 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 Eugene Katibah's details last updated?
The information pertaining to the Eugene Katibah, including its address, specialty, and other details, was most recently updated on 2007-07-08.