Carissa Marie Gill in Anthony - General Practice

Carissa Marie Gill - NPI 1487616926

Carissa Marie Gill is a General Practice in Anthony, Kansas. Carissa Marie Gill practices all healthcare services and medical treatments related to General Practice. The NPI Number for Carissa Marie Gill is 1487616926. The last update date is 2012-08-09.

Carissa Marie Gill's current location address is 113 N Anthony Ave, Anthony, Kansas. You can contact this provider via phone number 6208423844 and fax number 6208424139. The mailing address for Carissa Marie Gill is 113 N Anthony Ave, Anthony, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Carissa Marie Gill
Address 113 N Anthony Ave, Anthony, Kansas
Phone Number 6208423844
Fax Number 6208424139
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1487616926
Provider Enumeration Date 2006-04-03
Last Updated Date 2012-08-09

Provider Mailing Address Detail

Address 113 N Anthony Ave
City Anthony
State Kansas (KS)
Post Code 670032007
Phone Number 6208423844
Fax Number 6208424139

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 60042
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
116667 KS BLUE CROSS BLUE SHIELD
4087049504 KS --

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FAQs about Carissa Marie Gill

What is the Carissa Marie Gill's 1487616926?

The Carissa Marie Gill's NPI (National Provider Identifier) Number is 1487616926. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Carissa Marie Gill is geographically located?

The Carissa Marie Gill is physically situated at the following location: 113 N Anthony Ave, Anthony, KS, 670032007.

What is the area of specialization for Carissa Marie Gill, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Carissa Marie Gill is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

When was the Carissa Marie Gill's 1487616926 issued?

The Carissa Marie Gill's 1487616926 was issued on 2006-04-03.

As of what date were the details related to Carissa Marie Gill most recently updated or revised?

The information pertaining to Carissa Marie Gill, including its address, specialty, and other relevant details, was last updated or revised on 2012-08-09.

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