Scot C. Mardis in Terre Haute - General Practice

Scot C. Mardis - NPI 1548236250

Scot C. Mardis is a General Practice in Terre Haute, Indiana. Scot C. Mardis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Scot C. Mardis is 1548236250. The last update date is 2007-07-08.

Scot C. Mardis's current location address is 1616 N 9th St, Terre Haute, Indiana. You can contact this provider via phone number 8122328361 and fax number 8122389406. The mailing address for Scot C. Mardis is 1616 N 9th St, Terre Haute, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Scot C. Mardis
Address 1616 N 9th St, Terre Haute, Indiana
Phone Number 8122328361
Fax Number 8122389406
Sole Proprietor X
Credentials D.D.S.

NPI Number Detail

NPI Number 1548236250
Provider Enumeration Date 2006-02-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1616 N 9th St
City Terre Haute
State Indiana (IN)
Post Code 478042841
Phone Number 8122328361
Fax Number 8122389406

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 12008116A
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
777790 UNITED CONCORDIA

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FAQs about Scot C. Mardis

What is the Scot C. Mardis's unique identification number?

The Scot C. Mardis has been assigned the NPI (National Provider Identifier) Number 1548236250 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Scot C. Mardis's facilities are geographically located?

The facilities of Scot C. Mardis are physically situated at the following location: 1616 N 9Th St, Terre Haute, IN, 478042841.

What is Scot C. Mardis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Scot C. Mardis's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Scot C. Mardis receive the assignment of its 1548236250 from the Centers for Medicare & Medicaid Services?

The Scot C. Mardis was issued its 1548236250 by the Centers for Medicare & Medicaid Services on 2006-02-23.

As of what date were the Scot C. Mardis's details last updated?

The information pertaining to the Scot C. Mardis, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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