John Clay in Fort Dodge - General Practice

John Clay - NPI 1861558306

John Clay is a General Practice in Fort Dodge, Iowa. John Clay practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Clay is 1861558306. The last update date is 2007-07-08.

John Clay's current location address is 804 Kenyon Rd Ste J, Fort Dodge, Iowa. You can contact this provider via phone number 5155737601 and fax number 5155763962. The mailing address for John Clay is 804 Kenyon Rd Ste J, Fort Dodge, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name John Clay
Address 804 Kenyon Rd Ste J, Fort Dodge, Iowa
Phone Number 5155737601
Fax Number 5155763962
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1861558306
Provider Enumeration Date 2006-12-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 804 Kenyon Rd Ste J
City Fort Dodge
State Iowa (IA)
Post Code 505015744
Phone Number 5155737601
Fax Number 5155763962

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 8231
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
1291633 IA --

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FAQs about John Clay

What is the unique 10-digit identification code issued to John Clay by the Centers for Medicare & Medicaid Services?

The John Clay has been assigned the NPI (National Provider Identifier) 1861558306 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where John Clay's facilities are geographically located?

The facilities of John Clay are physically situated at the following location: 804 Kenyon Rd Ste J, Fort Dodge, IA, 505015744.

What is John Clay's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for John Clay is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1861558306 to John Clay?

The Centers for Medicare & Medicaid Services originally issued the 1861558306 to John Clay on 2006-12-29.

As of what date were the details related to John Clay most recently updated or revised?

The information pertaining to John Clay, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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