Glen K Stephenson Dmd Chartered in Boise - General Practice
Glen K Stephenson Dmd Chartered - NPI 1265692321
Glen K Stephenson Dmd Chartered is a General Practice in Boise, Idaho. Glen K Stephenson Dmd Chartered practices all healthcare services and medical treatments related to General Practice. The NPI Number for Glen K Stephenson Dmd Chartered is 1265692321. The last update date is 2008-06-12.
Glen K Stephenson Dmd Chartered's current location address is 7480 Northview St, Boise, Idaho. You can contact this provider via phone number 2083754041 and fax number 2083750225. The mailing address for Glen K Stephenson Dmd Chartered is 7480 Northview St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Glen K Stephenson Dmd Chartered |
|---|---|
| Address | 7480 Northview St, Boise, Idaho |
| Phone Number | 2083754041 |
| Fax Number | 2083750225 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Stephenson K Glen |
| Credentials | DMD |
| Telephone Number | 2083754041 |
NPI Number Detail
| NPI Number | 1265692321 |
|---|---|
| Provider Enumeration Date | 2008-06-12 |
| Last Updated Date | 2008-06-12 |
Provider Mailing Address Detail
| Address | 7480 Northview St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837047232 |
| Phone Number | 2083754041 |
| Fax Number | 2083750225 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D3338 |
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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 identification code assigned to Glen K Stephenson Dmd Chartered by the Centers for Medicare & Medicaid Services?
The Glen K Stephenson Dmd Chartered has been issued the NPI (National Provider Identifier) 1265692321. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Glen K Stephenson Dmd Chartered?
The Glen K Stephenson Dmd Chartered is physically situated at 7480 Northview St, in the city of Boise, state of ID, with the postal code 837047232.
What is Glen K Stephenson Dmd Chartered's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Glen K Stephenson Dmd Chartered is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1265692321 to Glen K Stephenson Dmd Chartered?
The Glen K Stephenson Dmd Chartered received its 1265692321 assignment from the Centers for Medicare & Medicaid Services on 2008-06-12.
As of what date were the details pertaining to Glen K Stephenson Dmd Chartered last refreshed?
The information related to the Glen K Stephenson Dmd Chartered, including its address, specialty, and other relevant details, was last updated on 2008-06-12.
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