Stephen Jay Pritchard in Bloomington - General Practice
Stephen Jay Pritchard - NPI 1639291925
Stephen Jay Pritchard is a General Practice in Bloomington, Indiana. Stephen Jay Pritchard practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stephen Jay Pritchard is 1639291925. The last update date is 2007-07-08.
Stephen Jay Pritchard's current location address is 1550 S Liberty Dr, Bloomington, Indiana. You can contact this provider via phone number 8123392811. The mailing address for Stephen Jay Pritchard is 1550 S Liberty Dr, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Jay Pritchard |
|---|---|
| Address | 1550 S Liberty Dr, Bloomington, Indiana |
| Phone Number | 8123392811 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1639291925 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1550 S Liberty Dr |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474035167 |
| Phone Number | 8123392811 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12007376 |
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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 Stephen Jay Pritchard's 1639291925?
The Stephen Jay Pritchard's NPI (National Provider Identifier) Number is 1639291925. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Stephen Jay Pritchard is located?
The Stephen Jay Pritchard is situated at the following address: 1550 S Liberty Dr, Bloomington, IN, 474035167.
What is the Stephen Jay Pritchard's area of specialization and corresponding taxonomy classification?
The Stephen Jay Pritchard's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did Stephen Jay Pritchard receive its 1639291925 assignment from the Centers for Medicare & Medicaid Services?
The Stephen Jay Pritchard was assigned its 1639291925 on 2007-04-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Stephen Jay Pritchard most recently updated or revised?
The information pertaining to Stephen Jay Pritchard, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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