Haeussner Dental Group in Orange Park - General Practice
Haeussner Dental Group - NPI 1174642375
Haeussner Dental Group is a General Practice in Orange Park, Florida. Haeussner Dental Group practices all healthcare services and medical treatments related to General Practice. The NPI Number for Haeussner Dental Group is 1174642375. The last update date is 2020-08-22.
Haeussner Dental Group's current location address is 1409 Kingsley Ave, Orange Park, Florida. You can contact this provider via phone number 9042642483 and fax number 9042640474. The mailing address for Haeussner Dental Group is 1409 Kingsley Ave, Orange Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Haeussner Dental Group |
|---|---|
| Address | 1409 Kingsley Ave, Orange Park, Florida |
| Phone Number | 9042642483 |
| Fax Number | 9042640474 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Haeussner Adrian Theodore |
| Credentials | DMD |
| Telephone Number | 9042642483 |
NPI Number Detail
| NPI Number | 1174642375 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1409 Kingsley Ave |
|---|---|
| City | Orange Park |
| State | Florida (FL) |
| Post Code | 320734562 |
| Phone Number | 9042642483 |
| Fax Number | 9042640474 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN 6384 |
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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 Haeussner Dental Group's 1174642375?
The Haeussner Dental Group's NPI (National Provider Identifier) Number is 1174642375. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Haeussner Dental Group?
The Haeussner Dental Group is situated at 1409 Kingsley Ave, in the city of Orange Park, state of FL, with the zip code 320734562.
What is Haeussner Dental Group's area of expertise and its corresponding taxonomy classification?
The Haeussner Dental Group'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 did the Haeussner Dental Group receive the assignment of its 1174642375 from the Centers for Medicare & Medicaid Services?
The Haeussner Dental Group was issued its 1174642375 by the Centers for Medicare & Medicaid Services on 2007-03-28.
As of what date was the information regarding Haeussner Dental Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Haeussner Dental Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.