Stephen Craig Vantasell in Fairfield - General Practice
Stephen Craig Vantasell - NPI 1124067970
Stephen Craig Vantasell is a General Practice in Fairfield, Iowa. Stephen Craig Vantasell practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stephen Craig Vantasell is 1124067970. The last update date is 2007-07-08.
Stephen Craig Vantasell's current location address is 51 W Adams Ave, Fairfield, Iowa. You can contact this provider via phone number 6414723158 and fax number 6414695111. The mailing address for Stephen Craig Vantasell is 51 W Adams Ave, Fairfield, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Craig Vantasell |
|---|---|
| Address | 51 W Adams Ave, Fairfield, Iowa |
| Phone Number | 6414723158 |
| Fax Number | 6414695111 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1124067970 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 51 W Adams Ave |
|---|---|
| City | Fairfield |
| State | Iowa (IA) |
| Post Code | 525563471 |
| Phone Number | 6414723158 |
| Fax Number | 6414695111 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5802 |
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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 |
|---|---|---|---|
| 119917 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Stephen Craig Vantasell by the Centers for Medicare & Medicaid Services?
The Stephen Craig Vantasell has been assigned the NPI (National Provider Identifier) 1124067970 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Stephen Craig Vantasell located?
The Stephen Craig Vantasell is located at 51 W Adams Ave, Fairfield, IA 525563471.
What is Stephen Craig Vantasell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stephen Craig Vantasell is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did Stephen Craig Vantasell receive its 1124067970 assignment from the Centers for Medicare & Medicaid Services?
The Stephen Craig Vantasell was assigned its 1124067970 on 2006-06-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Stephen Craig Vantasell most recently updated or refreshed?
The details pertaining to the Stephen Craig Vantasell, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.