Dental Depot is a General Practice in Moscow, Idaho. Dental Depot practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dental Depot is 1023225638. The last update date is 2020-08-22.
Dental Depot's current location address is 803 S Jefferson St, Moscow, Idaho. You can contact this provider via phone number 2088822531 and fax number 2088825701. The mailing address for Dental Depot is 803 S Jefferson St, Moscow, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dental Depot |
|---|---|
| Address | 803 S Jefferson St, Moscow, Idaho |
| Phone Number | 2088822531 |
| Fax Number | 2088825701 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Cole Jesse |
| Credentials | DDS |
| Telephone Number | 2088822531 |
NPI Number Detail
| NPI Number | 1023225638 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 803 S Jefferson St |
|---|---|
| City | Moscow |
| State | Idaho (ID) |
| Post Code | 838433096 |
| Phone Number | 2088822531 |
| Fax Number | 2088825701 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D3990 |
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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 identifier code issued to Dental Depot by the Centers for Medicare & Medicaid Services?
The Dental Depot has been assigned the NPI (National Provider Identifier) 1023225638 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Dental Depot's facilities are situated?
The facilities of Dental Depot are physically located at the following address: 803 S Jefferson St, Moscow, ID, 838433096.
What is the area of specialization for Dental Depot, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dental Depot is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023225638 to Dental Depot?
The Centers for Medicare & Medicaid Services assigned the 1023225638 to Dental Depot on 2007-05-16.
When was the information related to Dental Depot most recently updated or refreshed?
The details pertaining to the Dental Depot, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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