Kirk A Sudeall in Snellville - General Practice

Kirk A Sudeall - NPI 1770636011

Kirk A Sudeall is a General Practice in Snellville, Georgia. Kirk A Sudeall practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kirk A Sudeall is 1770636011. The last update date is 2007-07-08.

Kirk A Sudeall's current location address is 4460 Riders Ridge Trl, Snellville, Georgia. You can contact this provider via phone number 7709789833. The mailing address for Kirk A Sudeall is 4460 Riders Ridge Trl, Snellville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kirk A Sudeall
Address 4460 Riders Ridge Trl, Snellville, Georgia
Phone Number 7709789833
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1770636011
Provider Enumeration Date 2007-01-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4460 Riders Ridge Trl
City Snellville
State Georgia (GA)
Post Code 300398580
Phone Number 7709789833
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 11931
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 Kirk A Sudeall

What is the unique 10-digit identification code assigned to Kirk A Sudeall by the Centers for Medicare & Medicaid Services?

The Kirk A Sudeall has been issued the NPI (National Provider Identifier) 1770636011, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Kirk A Sudeall is physically located?

The Kirk A Sudeall is physically situated at the following address: 4460 Riders Ridge Trl, Snellville, GA, 300398580.

What is Kirk A Sudeall's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kirk A Sudeall is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Kirk A Sudeall receive the assignment of its 1770636011 from the Centers for Medicare & Medicaid Services?

The Kirk A Sudeall was issued its 1770636011 by the Centers for Medicare & Medicaid Services on 2007-01-19.

As of what date was the information regarding Kirk A Sudeall, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kirk A Sudeall, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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