Bert Anthony Tavary in St Augustine - General Practice

Bert Anthony Tavary - NPI 1811103732

Bert Anthony Tavary is a General Practice in St Augustine, Florida. Bert Anthony Tavary practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bert Anthony Tavary is 1811103732. The last update date is 2007-07-08.

Bert Anthony Tavary's current location address is 700 Anastasia Blvd, St Augustine, Florida. You can contact this provider via phone number 9048243540 and fax number 9048243541. The mailing address for Bert Anthony Tavary is 700 Anastasia Blvd, St Augustine, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Bert Anthony Tavary
Address 700 Anastasia Blvd, St Augustine, Florida
Phone Number 9048243540
Fax Number 9048243541
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1811103732
Provider Enumeration Date 2007-05-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 700 Anastasia Blvd
City St Augustine
State Florida (FL)
Post Code 320804616
Phone Number 9048243540
Fax Number 9048243541

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN 8627
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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FAQs about Bert Anthony Tavary

What is the unique 10-digit identifier code assigned to Bert Anthony Tavary by the Centers for Medicare & Medicaid Services?

The Bert Anthony Tavary has been issued the NPI (National Provider Identifier) 1811103732 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Bert Anthony Tavary is physically located?

The Bert Anthony Tavary is physically situated at the following address: 700 Anastasia Blvd, St Augustine, FL, 320804616.

What is Bert Anthony Tavary's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Bert Anthony Tavary is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1811103732 to Bert Anthony Tavary?

The Bert Anthony Tavary received its 1811103732 assignment from the Centers for Medicare & Medicaid Services on 2007-05-15.

As of what date was the information pertaining to Bert Anthony Tavary, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Bert Anthony Tavary, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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