Jerry Preuss is a General Practice in Lafayette, Indiana. Jerry Preuss practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jerry Preuss is 1083700355. The last update date is 2012-04-02.
Jerry Preuss's current location address is 2 Walter Scholer Dr, Lafayette, Indiana. You can contact this provider via phone number 7654776100 and fax number 7654775911. The mailing address for Jerry Preuss is 2 Walter Scholer Dr, Lafayette, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Preuss |
|---|---|
| Address | 2 Walter Scholer Dr, Lafayette, Indiana |
| Phone Number | 7654776100 |
| Fax Number | 7654775911 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1083700355 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2012-04-02 |
Provider Mailing Address Detail
| Address | 2 Walter Scholer Dr |
|---|---|
| City | Lafayette |
| State | Indiana (IN) |
| Post Code | 479096382 |
| Phone Number | 7654776100 |
| Fax Number | 7654775911 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | IND 1200 802 |
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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 |
|---|---|---|---|
| 100231690A | IN | -- | |
| 12008025 | INDIANA LICENSE | ||
| 620525 | UNITED CONCORDIA | ||
| 805690 | IN | BLUE CROSS BLUE SHIELD PR |
Post Comment/ Review Below
What is the Jerry Preuss's 1083700355?
The Jerry Preuss's NPI (National Provider Identifier) Number is 1083700355. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jerry Preuss located?
The Jerry Preuss is located at 2 Walter Scholer Dr, Lafayette, IN 479096382.
What is Jerry Preuss'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 Jerry Preuss 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 1083700355 to Jerry Preuss?
The Centers for Medicare & Medicaid Services originally issued the 1083700355 to Jerry Preuss on 2006-10-05.
As of what date were the details related to Jerry Preuss most recently updated or revised?
The information pertaining to Jerry Preuss, including its address, specialty, and other relevant details, was last updated or revised on 2012-04-02.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA