Stephen Conrad Potter in Yulee - General Practice
Stephen Conrad Potter - NPI 1013184522
Stephen Conrad Potter is a General Practice in Yulee, Florida. Stephen Conrad Potter practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stephen Conrad Potter is 1013184522. The last update date is 2008-05-14.
Stephen Conrad Potter's current location address is Po Box 970, Yulee, Florida. You can contact this provider via phone number 9042250607 and fax number 9042250657. The mailing address for Stephen Conrad Potter is Po Box 970, Yulee, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Conrad Potter |
|---|---|
| Address | Po Box 970, Yulee, Florida |
| Phone Number | 9042250607 |
| Fax Number | 9042250657 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1013184522 |
|---|---|
| Provider Enumeration Date | 2008-05-14 |
| Last Updated Date | 2008-05-14 |
Provider Mailing Address Detail
| Address | Po Box 970 |
|---|---|
| City | Yulee |
| State | Florida (FL) |
| Post Code | 320410970 |
| Phone Number | 9042250607 |
| Fax Number | 9042250657 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN9080 |
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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 identifier code issued to Stephen Conrad Potter by the Centers for Medicare & Medicaid Services?
The Stephen Conrad Potter has been assigned the NPI (National Provider Identifier) 1013184522. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Stephen Conrad Potter is physically located?
The Stephen Conrad Potter is situated at the following address: Po Box 970, Yulee, FL 320410970.
What is Stephen Conrad Potter's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stephen Conrad Potter's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
When did Stephen Conrad Potter receive its 1013184522 assignment?
The Stephen Conrad Potter was assigned its 1013184522 on 2008-05-14, which is the date when this unique identifier was issued to the organization.
As of what date were the Stephen Conrad Potter's details last updated?
The information pertaining to the Stephen Conrad Potter, including its address, specialty, and other details, was most recently updated on 2008-05-14.
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