Jerry P Gomez is a General Practice in Nampa, Idaho. Jerry P Gomez practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jerry P Gomez is 1548374614. The last update date is 2023-03-07.
Jerry P Gomez's current location address is Po Box 9, Nampa, Idaho. You can contact this provider via phone number 2084660515 and fax number 2084665359. The mailing address for Jerry P Gomez is Po Box 9, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry P Gomez |
|---|---|
| Address | Po Box 9, Nampa, Idaho |
| Phone Number | 2084660515 |
| Fax Number | 2084665359 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1548374614 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | Po Box 9 |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 836530009 |
| Phone Number | 2084660515 |
| Fax Number | 2084665359 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D3729 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CS10183 | ID | BOARD OF PHARMACY |
Post Comment/ Review Below
What is the unique identification code assigned to Jerry P Gomez by the Centers for Medicare & Medicaid Services?
The Jerry P Gomez has been issued the NPI (National Provider Identifier) 1548374614. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jerry P Gomez's facilities are situated?
The facilities of Jerry P Gomez are physically located at the following address: Po Box 9, Nampa, ID, 836530009.
What is Jerry P Gomez's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jerry P Gomez's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1548374614 to Jerry P Gomez?
The Centers for Medicare & Medicaid Services assigned the 1548374614 to Jerry P Gomez on 2006-08-18.
As of what date were the details related to Jerry P Gomez most recently updated or revised?
The information pertaining to Jerry P Gomez, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.