Stephen Wayne Robertson in Bowling Green - General Practice

Stephen Wayne Robertson - NPI 1700890480

Stephen Wayne Robertson is a General Practice in Bowling Green, Kentucky. Stephen Wayne Robertson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stephen Wayne Robertson is 1700890480. The last update date is 2007-07-08.

Stephen Wayne Robertson's current location address is 1720 Destiny Ln, Bowling Green, Kentucky. You can contact this provider via phone number 2708423554 and fax number 2707814644. The mailing address for Stephen Wayne Robertson is 1720 Destiny Ln, Bowling Green, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Wayne Robertson
Address 1720 Destiny Ln, Bowling Green, Kentucky
Phone Number 2708423554
Fax Number 2707814644
Sole Proprietor N
Credentials D.M.D.,

NPI Number Detail

NPI Number 1700890480
Provider Enumeration Date 2006-07-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1720 Destiny Ln
City Bowling Green
State Kentucky (KY)
Post Code 421041063
Phone Number 2708423554
Fax Number 2707814644

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2708
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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FAQs about Stephen Wayne Robertson

What is the unique 10-digit identifier code assigned to Stephen Wayne Robertson by the Centers for Medicare & Medicaid Services?

The Stephen Wayne Robertson has been issued the NPI (National Provider Identifier) 1700890480 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Stephen Wayne Robertson is physically located?

The Stephen Wayne Robertson is situated at the following address: 1720 Destiny Ln, Bowling Green, KY 421041063.

What is the Stephen Wayne Robertson's specialty and taxonomy code?

The Stephen Wayne Robertson's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1700890480 to Stephen Wayne Robertson?

The Centers for Medicare & Medicaid Services originally issued the 1700890480 to Stephen Wayne Robertson on 2006-07-28.

As of what date were the Stephen Wayne Robertson's details last updated?

The information pertaining to the Stephen Wayne Robertson, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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