Clint Patrick Dutil in Jeanerette - General Practice
Clint Patrick Dutil - NPI 1124153713
Clint Patrick Dutil is a General Practice in Jeanerette, Louisiana. Clint Patrick Dutil practices all healthcare services and medical treatments related to General Practice. The NPI Number for Clint Patrick Dutil is 1124153713. The last update date is 2007-07-09.
Clint Patrick Dutil's current location address is Po Box 810, Jeanerette, Louisiana. You can contact this provider via phone number 3372764111 and fax number 3372764111. The mailing address for Clint Patrick Dutil is Po Box 810, Jeanerette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clint Patrick Dutil |
|---|---|
| Address | Po Box 810, Jeanerette, Louisiana |
| Phone Number | 3372764111 |
| Fax Number | 3372764111 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1124153713 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | Po Box 810 |
|---|---|
| City | Jeanerette |
| State | Louisiana (LA) |
| Post Code | 705440810 |
| Phone Number | 3372764111 |
| Fax Number | 3372764111 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5560 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1855600 | LA | -- |
Post Comment/ Review Below
What is the Clint Patrick Dutil's 1124153713?
The Clint Patrick Dutil's NPI (National Provider Identifier) Number is 1124153713. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Clint Patrick Dutil?
The Clint Patrick Dutil is situated at Po Box 810, in the city of Jeanerette, state of LA, with the zip code 705440810.
What is Clint Patrick Dutil's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Clint Patrick Dutil is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124153713 to Clint Patrick Dutil?
The Clint Patrick Dutil received its 1124153713 assignment from the Centers for Medicare & Medicaid Services on 2007-02-22.
When was the Clint Patrick Dutil's information last updated?
The Clint Patrick Dutil's information was last updated on 2007-07-09.