Preddis Leroy Sullivan in Wichita - General Practice
Preddis Leroy Sullivan - NPI 1477616662
Preddis Leroy Sullivan is a General Practice in Wichita, Kansas. Preddis Leroy Sullivan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Preddis Leroy Sullivan is 1477616662. The last update date is 2022-10-06.
Preddis Leroy Sullivan's current location address is 3620 N Crest Ct, Wichita, Kansas. You can contact this provider via phone number 9165179905. The mailing address for Preddis Leroy Sullivan is 3620 N Crest Ct, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Preddis Leroy Sullivan |
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Address | 3620 N Crest Ct, Wichita, Kansas |
Phone Number | 9165179905 |
Fax Number | |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1477616662 |
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Provider Enumeration Date | 2006-12-18 |
Last Updated Date | 2022-10-06 |
Provider Mailing Address Detail
Address | 3620 N Crest Ct |
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City | Wichita |
State | Kansas (KS) |
Post Code | 672261019 |
Phone Number | 9165179905 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 54500 |
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 provider identifier assigned to Preddis Leroy Sullivan?
The Preddis Leroy Sullivan has been issued the NPI (National Provider Identifier) 1477616662 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Preddis Leroy Sullivan is physically located?
The Preddis Leroy Sullivan is situated at the following address: 3620 N Crest Ct, Wichita, KS 672261019.
What is the Preddis Leroy Sullivan's area of specialization and corresponding taxonomy classification?
The Preddis Leroy Sullivan's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did Preddis Leroy Sullivan receive its 1477616662 assignment from the Centers for Medicare & Medicaid Services?
The Preddis Leroy Sullivan was assigned its 1477616662 on 2006-12-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Preddis Leroy Sullivan last refreshed?
The information related to the Preddis Leroy Sullivan, including its address, specialty, and other relevant details, was last updated on 2022-10-06.