Schadale Stevens in Stone Mountain - General Practice

Schadale Stevens - NPI 1386798346

Schadale Stevens is a General Practice in Stone Mountain, Georgia. Schadale Stevens practices all healthcare services and medical treatments related to General Practice. The NPI Number for Schadale Stevens is 1386798346. The last update date is 2007-07-09.

Schadale Stevens's current location address is 4813 Rockbridge Rd, Stone Mountain, Georgia. You can contact this provider via phone number 4042928383. The mailing address for Schadale Stevens is 4813 Rockbridge Rd, Stone Mountain, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Schadale Stevens
Address 4813 Rockbridge Rd, Stone Mountain, Georgia
Phone Number 4042928383
Fax Number
Sole Proprietor N
Credentials D.D.S

NPI Number Detail

NPI Number 1386798346
Provider Enumeration Date 2007-01-23
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 4813 Rockbridge Rd
City Stone Mountain
State Georgia (GA)
Post Code 300834200
Phone Number 4042928383
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 12150
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00909664A GA --

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FAQs about Schadale Stevens

What is the Schadale Stevens's unique identification number?

The Schadale Stevens has been assigned the NPI (National Provider Identifier) Number 1386798346 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Schadale Stevens is geographically located?

The Schadale Stevens is physically situated at the following location: 4813 Rockbridge Rd, Stone Mountain, GA, 300834200.

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

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

On what date did Schadale Stevens receive its 1386798346 assignment from the Centers for Medicare & Medicaid Services?

The Schadale Stevens was assigned its 1386798346 on 2007-01-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Schadale Stevens most recently updated or revised?

The details related to Schadale Stevens, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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