David Randal Fohan in Ft Wainwright - General Practice
David Randal Fohan - NPI 1710954854
David Randal Fohan is a General Practice in Ft Wainwright, Alaska. David Randal Fohan practices all healthcare services and medical treatments related to General Practice. The NPI Number for David Randal Fohan is 1710954854. The last update date is 2017-07-31.
David Randal Fohan's current location address is 1060 Gaffney Rd #7440, Ft Wainwright, Alaska. You can contact this provider via phone number 9073616028. The mailing address for David Randal Fohan is 1060 Gaffney Rd #7440, Ft Wainwright, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Randal Fohan |
|---|---|
| Address | 1060 Gaffney Rd #7440, Ft Wainwright, Alaska |
| Phone Number | 9073616028 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D., D.M. |
NPI Number Detail
| NPI Number | 1710954854 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2017-07-31 |
Provider Mailing Address Detail
| Address | 1060 Gaffney Rd #7440 |
|---|---|
| City | Ft Wainwright |
| State | Alaska (AK) |
| Post Code | 997031474 |
| Phone Number | 9073616028 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN009804 |
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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 10-digit identification code assigned to David Randal Fohan by the Centers for Medicare & Medicaid Services?
The David Randal Fohan has been issued the NPI (National Provider Identifier) 1710954854, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where David Randal Fohan's facilities are situated?
The facilities of David Randal Fohan are physically located at the following address: 1060 Gaffney Rd #7440, Ft Wainwright, AK, 997031474.
What is David Randal Fohan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for David Randal Fohan is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1710954854 to David Randal Fohan?
The Centers for Medicare & Medicaid Services assigned the 1710954854 to David Randal Fohan on 2006-03-08.
As of what date was the information regarding David Randal Fohan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to David Randal Fohan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-07-31.