Samuel Lee Kretzschmar in Melbourne - General Practice
Samuel Lee Kretzschmar - NPI 1447394077
Samuel Lee Kretzschmar is a General Practice in Melbourne, Florida. Samuel Lee Kretzschmar practices all healthcare services and medical treatments related to General Practice. The NPI Number for Samuel Lee Kretzschmar is 1447394077. The last update date is 2007-07-08.
Samuel Lee Kretzschmar's current location address is 4301 N Wickham Rd, Melbourne, Florida. You can contact this provider via phone number 3212422236 and fax number 3217516072. The mailing address for Samuel Lee Kretzschmar is 4301 N Wickham Rd, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel Lee Kretzschmar |
|---|---|
| Address | 4301 N Wickham Rd, Melbourne, Florida |
| Phone Number | 3212422236 |
| Fax Number | 3217516072 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1447394077 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4301 N Wickham Rd |
|---|---|
| City | Melbourne |
| State | Florida (FL) |
| Post Code | 329352400 |
| Phone Number | 3212422236 |
| Fax Number | 3217516072 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN 13915 |
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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 Samuel Lee Kretzschmar's unique identification number?
The Samuel Lee Kretzschmar has been assigned the NPI (National Provider Identifier) Number 1447394077 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Samuel Lee Kretzschmar is physically located?
The Samuel Lee Kretzschmar is physically situated at the following address: 4301 N Wickham Rd, Melbourne, FL, 329352400.
What is Samuel Lee Kretzschmar's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Samuel Lee Kretzschmar's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When did Samuel Lee Kretzschmar receive its 1447394077 assignment?
The Samuel Lee Kretzschmar was assigned its 1447394077 on 2007-02-16, which is the date when this unique identifier was issued to the organization.
When was the information regarding Samuel Lee Kretzschmar most recently updated?
The details pertaining to the Samuel Lee Kretzschmar, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.