Gordon Earl Fletcher in Hattiesburg - General Practice

Gordon Earl Fletcher - NPI 1255350369

Gordon Earl Fletcher is a General Practice in Hattiesburg, Mississippi. Gordon Earl Fletcher practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gordon Earl Fletcher is 1255350369. The last update date is 2013-07-16.

Gordon Earl Fletcher's current location address is 1904 Hardy St, Hattiesburg, Mississippi. You can contact this provider via phone number 6015832250 and fax number 6015832272. The mailing address for Gordon Earl Fletcher is 1904 Hardy St, Hattiesburg, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Gordon Earl Fletcher
Address 1904 Hardy St, Hattiesburg, Mississippi
Phone Number 6015832250
Fax Number 6015832272
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1255350369
Provider Enumeration Date 2006-07-19
Last Updated Date 2013-07-16

Provider Mailing Address Detail

Address 1904 Hardy St
City Hattiesburg
State Mississippi (MS)
Post Code 394014983
Phone Number 6015832250
Fax Number 6015832272

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3268-03
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
1835153 LA --

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FAQs about Gordon Earl Fletcher

What is the unique identifier code issued to Gordon Earl Fletcher by the Centers for Medicare & Medicaid Services?

The Gordon Earl Fletcher has been assigned the NPI (National Provider Identifier) 1255350369. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Gordon Earl Fletcher located?

The Gordon Earl Fletcher is located at 1904 Hardy St, Hattiesburg, MS 394014983.

What is Gordon Earl Fletcher's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Gordon Earl Fletcher is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

When did Gordon Earl Fletcher receive its 1255350369 assignment?

The Gordon Earl Fletcher was assigned its 1255350369 on 2006-07-19, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Gordon Earl Fletcher most recently updated or revised?

The details related to Gordon Earl Fletcher, including its address, specialty, and other relevant information, were last updated or revised on 2013-07-16.

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