Kim Thomas Judice in Lafayette - General Practice

Kim Thomas Judice - NPI 1215073473

Kim Thomas Judice is a General Practice in Lafayette, Louisiana. Kim Thomas Judice practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kim Thomas Judice is 1215073473. The last update date is 2007-07-09.

Kim Thomas Judice's current location address is 111 Noel Dr., Lafayette, Louisiana. You can contact this provider via phone number 3379880020 and fax number 3379880244. The mailing address for Kim Thomas Judice is 111 Noel Dr., Lafayette, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Kim Thomas Judice
Address 111 Noel Dr., Lafayette, Louisiana
Phone Number 3379880020
Fax Number 3379880244
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1215073473
Provider Enumeration Date 2007-01-29
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 111 Noel Dr.
City Lafayette
State Louisiana (LA)
Post Code 70503
Phone Number 3379880020
Fax Number 3379880244

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No LA3422
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
1834220 LA --

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FAQs about Kim Thomas Judice

What is the Kim Thomas Judice's 1215073473?

The Kim Thomas Judice's NPI (National Provider Identifier) Number is 1215073473. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Kim Thomas Judice is physically located?

The Kim Thomas Judice is situated at the following address: 111 Noel Dr., Lafayette, LA 70503.

What is Kim Thomas Judice's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kim Thomas Judice's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did Kim Thomas Judice receive its 1215073473 assignment from the Centers for Medicare & Medicaid Services?

The Kim Thomas Judice was assigned its 1215073473 on 2007-01-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Kim Thomas Judice, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kim Thomas Judice, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.

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