Shane Galen Sudman in Council Bluffs - General Practice
Shane Galen Sudman - NPI 1538249156
Shane Galen Sudman is a General Practice in Council Bluffs, Iowa. Shane Galen Sudman practices all healthcare services and medical treatments related to General Practice. The NPI Number for Shane Galen Sudman is 1538249156. The last update date is 2018-03-17.
Shane Galen Sudman's current location address is 2934 7th Ave, Council Bluffs, Iowa. You can contact this provider via phone number 7735978863 and fax number 4023906446. The mailing address for Shane Galen Sudman is 2934 7th Ave, Council Bluffs, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane Galen Sudman |
|---|---|
| Address | 2934 7th Ave, Council Bluffs, Iowa |
| Phone Number | 7735978863 |
| Fax Number | 4023906446 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1538249156 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 2934 7th Ave |
|---|---|
| City | Council Bluffs |
| State | Iowa (IA) |
| Post Code | 515015859 |
| Phone Number | 7735978863 |
| Fax Number | 4023906446 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 7064 |
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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 unique 10-digit identifier code assigned to Shane Galen Sudman by the Centers for Medicare & Medicaid Services?
The Shane Galen Sudman has been issued the NPI (National Provider Identifier) 1538249156 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Shane Galen Sudman's facilities are situated?
The facilities of Shane Galen Sudman are physically located at the following address: 2934 7Th Ave, Council Bluffs, IA, 515015859.
What is Shane Galen Sudman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shane Galen Sudman is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did Shane Galen Sudman receive its 1538249156 assignment from the Centers for Medicare & Medicaid Services?
The Shane Galen Sudman was assigned its 1538249156 on 2006-10-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Shane Galen Sudman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shane Galen Sudman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-03-17.
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