Morning Star Dental Pa in Star - General Practice
Morning Star Dental Pa - NPI 1114069903
Morning Star Dental Pa is a General Practice in Star, Idaho. Morning Star Dental Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Morning Star Dental Pa is 1114069903. The last update date is 2020-08-22.
Morning Star Dental Pa's current location address is 9776 W State St, Star, Idaho. You can contact this provider via phone number 2084559498. The mailing address for Morning Star Dental Pa is 9776 W State St, Star, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Morning Star Dental Pa |
|---|---|
| Address | 9776 W State St, Star, 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 | 1114069903 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 9776 W State St |
|---|---|
| City | Star |
| State | Idaho (ID) |
| Post Code | 836695766 |
| Phone Number | 2084559498 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D-3237 |
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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 Morning Star Dental Pa by the Centers for Medicare & Medicaid Services?
The Morning Star Dental Pa has been assigned the NPI (National Provider Identifier) 1114069903 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Morning Star Dental Pa?
The Morning Star Dental Pa is physically situated at 9776 W State St, in the city of Star, state of ID, with the postal code 836695766.
What is Morning Star Dental Pa'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 Morning Star Dental Pa 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 originally issue the 1114069903 to Morning Star Dental Pa?
The Centers for Medicare & Medicaid Services originally issued the 1114069903 to Morning Star Dental Pa on 2007-02-12.
When was the Morning Star Dental Pa's information last updated?
The Morning Star Dental Pa's information was last updated on 2020-08-22.
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