Clock Tower Dental Pa in Caldwell - General Practice
Clock Tower Dental Pa - NPI 1720128432
Clock Tower Dental Pa is a General Practice in Caldwell, Idaho. Clock Tower Dental Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Clock Tower Dental Pa is 1720128432. The last update date is 2020-08-22.
Clock Tower Dental Pa's current location address is 4105 Clock Tower Ave, Caldwell, Idaho. You can contact this provider via phone number 2084559498. The mailing address for Clock Tower Dental Pa is 4105 Clock Tower Ave, Caldwell, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clock Tower Dental Pa |
|---|---|
| Address | 4105 Clock Tower Ave, Caldwell, Idaho |
| Phone Number | 2084559498 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Mooso R Darin |
| Credentials | DDS |
| Telephone Number | 2084559498 |
NPI Number Detail
| NPI Number | 1720128432 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4105 Clock Tower Ave |
|---|---|
| City | Caldwell |
| State | Idaho (ID) |
| Post Code | 836075006 |
| Phone Number | 2084559498 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D3237 |
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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 Clock Tower Dental Pa's unique identification number?
The Clock Tower Dental Pa has been assigned the NPI (National Provider Identifier) Number 1720128432 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 location address where Clock Tower Dental Pa's facilities are situated?
The facilities of Clock Tower Dental Pa are physically located at the following address: 4105 Clock Tower Ave, Caldwell, ID, 836075006.
What is Clock Tower Dental Pa's area of expertise and its corresponding taxonomy classification?
The Clock Tower Dental Pa's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1720128432 assigned to Clock Tower Dental Pa?
The Clock Tower Dental Pa was issued its 1720128432 on 2007-02-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Clock Tower Dental Pa's information last updated?
The Clock Tower Dental Pa's information was last updated on 2020-08-22.
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