Gregg C Mazonas Dds Pc in Shelbyville - General Practice

Gregg C Mazonas Dds Pc - NPI 1518054428

Gregg C Mazonas Dds Pc is a General Practice in Shelbyville, Indiana. Gregg C Mazonas Dds Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gregg C Mazonas Dds Pc is 1518054428. The last update date is 2008-08-06.

Gregg C Mazonas Dds Pc's current location address is Po Bx 70, Shelbyville, Indiana. You can contact this provider via phone number 3173923231 and fax number 3173923233. The mailing address for Gregg C Mazonas Dds Pc is Po Bx 70, Shelbyville, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gregg C Mazonas Dds Pc
Address Po Bx 70, Shelbyville, Indiana
Phone Number 3173923231
Fax Number 3173923233
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Mazonas C Gregg
Credentials DDS
Telephone Number 3173923231

NPI Number Detail

NPI Number 1518054428
Provider Enumeration Date 2006-10-10
Last Updated Date 2008-08-06

Provider Mailing Address Detail

Address Po Bx 70
City Shelbyville
State Indiana (IN)
Post Code 461760070
Phone Number 3173923231
Fax Number 3173923233

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 12008860A
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200244850A IN --

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FAQs about Gregg C Mazonas Dds Pc

What is the unique 10-digit identification code assigned to Gregg C Mazonas Dds Pc by the Centers for Medicare & Medicaid Services?

The Gregg C Mazonas Dds Pc has been issued the NPI (National Provider Identifier) 1518054428, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Gregg C Mazonas Dds Pc's facilities are geographically located?

The facilities of Gregg C Mazonas Dds Pc are physically situated at the following location: Po Bx 70, Shelbyville, IN, 461760070.

What is the Gregg C Mazonas Dds Pc's area of specialization and corresponding taxonomy classification?

The Gregg C Mazonas Dds Pc'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 the Centers for Medicare & Medicaid Services originally issue the 1518054428 to Gregg C Mazonas Dds Pc?

The Centers for Medicare & Medicaid Services originally issued the 1518054428 to Gregg C Mazonas Dds Pc on 2006-10-10.

As of what date were the details pertaining to Gregg C Mazonas Dds Pc last refreshed?

The information related to the Gregg C Mazonas Dds Pc, including its address, specialty, and other relevant details, was last updated on 2008-08-06.

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