Corey M. Bergeron in Breaux Bridge - General Practice
Corey M. Bergeron - NPI 1750475729
Corey M. Bergeron is a General Practice in Breaux Bridge, Louisiana. Corey M. Bergeron practices all healthcare services and medical treatments related to General Practice. The NPI Number for Corey M. Bergeron is 1750475729. The last update date is 2007-07-08.
Corey M. Bergeron's current location address is 636 S Belle Cir, Breaux Bridge, Louisiana. You can contact this provider via phone number 3373325141 and fax number 3373325131. The mailing address for Corey M. Bergeron is 636 S Belle Cir, Breaux Bridge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Corey M. Bergeron |
|---|---|
| Address | 636 S Belle Cir, Breaux Bridge, Louisiana |
| Phone Number | 3373325141 |
| Fax Number | 3373325131 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1750475729 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 636 S Belle Cir |
|---|---|
| City | Breaux Bridge |
| State | Louisiana (LA) |
| Post Code | 705174635 |
| Phone Number | 3373325141 |
| Fax Number | 3373325131 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5308 |
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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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What is the unique 10-digit identifier code assigned to Corey M. Bergeron by the Centers for Medicare & Medicaid Services?
The Corey M. Bergeron has been issued the NPI (National Provider Identifier) 1750475729 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Corey M. Bergeron?
The Corey M. Bergeron is physically situated at 636 S Belle Cir, in the city of Breaux Bridge, state of LA, with the postal code 705174635.
What is the Corey M. Bergeron's area of specialization and corresponding taxonomy classification?
The Corey M. Bergeron'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 the Centers for Medicare & Medicaid Services originally issue the 1750475729 to Corey M. Bergeron?
The Centers for Medicare & Medicaid Services originally issued the 1750475729 to Corey M. Bergeron on 2006-10-03.
When was the information pertaining to Corey M. Bergeron most recently updated or revised?
The details related to Corey M. Bergeron, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1720081763
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