Maiko Daisy Broadhead in Hinesville - General Practice
Maiko Daisy Broadhead - NPI 1922124478
Maiko Daisy Broadhead is a General Practice in Hinesville, Georgia. Maiko Daisy Broadhead practices all healthcare services and medical treatments related to General Practice. The NPI Number for Maiko Daisy Broadhead is 1922124478. The last update date is 2007-07-08.
Maiko Daisy Broadhead's current location address is 319 W General Screven Way Ste H, Hinesville, Georgia. You can contact this provider via phone number 9123686881. The mailing address for Maiko Daisy Broadhead is 319 W General Screven Way Ste H, Hinesville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maiko Daisy Broadhead |
|---|---|
| Address | 319 W General Screven Way Ste H, Hinesville, Georgia |
| Phone Number | 9123686881 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1922124478 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 319 W General Screven Way Ste H |
|---|---|
| City | Hinesville |
| State | Georgia (GA) |
| Post Code | 313133065 |
| Phone Number | 9123686881 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 13190 |
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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 Maiko Daisy Broadhead's unique identification number?
The Maiko Daisy Broadhead has been assigned the NPI (National Provider Identifier) Number 1922124478 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Maiko Daisy Broadhead's facilities are geographically located?
The facilities of Maiko Daisy Broadhead are physically situated at the following location: 319 W General Screven Way Ste H, Hinesville, GA, 313133065.
What is Maiko Daisy Broadhead's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Maiko Daisy Broadhead is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Maiko Daisy Broadhead receive the assignment of its 1922124478 from the Centers for Medicare & Medicaid Services?
The Maiko Daisy Broadhead was issued its 1922124478 by the Centers for Medicare & Medicaid Services on 2007-03-22.
When was the information related to Maiko Daisy Broadhead most recently updated or refreshed?
The details pertaining to the Maiko Daisy Broadhead, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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