Radcliffe Family Dental, Llc in Gary - General Practice
Radcliffe Family Dental, Llc - NPI 1023201175
Radcliffe Family Dental, Llc is a General Practice in Gary, Indiana. Radcliffe Family Dental, Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Radcliffe Family Dental, Llc is 1023201175. The last update date is 2008-07-25.
Radcliffe Family Dental, Llc's current location address is 1901 Grant Street, Gary, Indiana. You can contact this provider via phone number 2198801430 and fax number 2198801431. The mailing address for Radcliffe Family Dental, Llc is 1901 Grant Street, Gary, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Radcliffe Family Dental, Llc |
|---|---|
| Address | 1901 Grant Street, Gary, Indiana |
| Phone Number | 2198801430 |
| Fax Number | 2198801431 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Radcliffe Trinoda |
| Credentials | DDS |
| Telephone Number | 2198801430 |
NPI Number Detail
| NPI Number | 1023201175 |
|---|---|
| Provider Enumeration Date | 2007-08-22 |
| Last Updated Date | 2008-07-25 |
Provider Mailing Address Detail
| Address | 1901 Grant Street |
|---|---|
| City | Gary |
| State | Indiana (IN) |
| Post Code | 464042761 |
| Phone Number | 2198801430 |
| Fax Number | 2198801431 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12010399A |
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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 |
|---|---|---|---|
| 200860520 | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Radcliffe Family Dental, Llc?
The Radcliffe Family Dental, Llc has been issued the NPI (National Provider Identifier) 1023201175 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Radcliffe Family Dental, Llc is physically located?
The Radcliffe Family Dental, Llc is situated at the following address: 1901 Grant Street, Gary, IN 464042761.
What is Radcliffe Family Dental, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Radcliffe Family Dental, Llc's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When did Radcliffe Family Dental, Llc receive its 1023201175 assignment?
The Radcliffe Family Dental, Llc was assigned its 1023201175 on 2007-08-22, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Radcliffe Family Dental, Llc last refreshed?
The information related to the Radcliffe Family Dental, Llc, including its address, specialty, and other relevant details, was last updated on 2008-07-25.