Judith Diane Ellender in Sulphur - General Practice
Judith Diane Ellender - NPI 1063545614
Judith Diane Ellender is a General Practice in Sulphur, Louisiana. Judith Diane Ellender practices all healthcare services and medical treatments related to General Practice. The NPI Number for Judith Diane Ellender is 1063545614. The last update date is 2007-07-08.
Judith Diane Ellender's current location address is 910 1st Ave, Sulphur, Louisiana. You can contact this provider via phone number 3375276751 and fax number 3375276751. The mailing address for Judith Diane Ellender is 910 1st Ave, Sulphur, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Judith Diane Ellender |
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Address | 910 1st Ave, Sulphur, Louisiana |
Phone Number | 3375276751 |
Fax Number | 3375276751 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1063545614 |
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Provider Enumeration Date | 2007-03-13 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 910 1st Ave |
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City | Sulphur |
State | Louisiana (LA) |
Post Code | 706633425 |
Phone Number | 3375276751 |
Fax Number | 3375276751 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 2640 |
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 |
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1826405 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Judith Diane Ellender by the Centers for Medicare & Medicaid Services?
The Judith Diane Ellender has been issued the NPI (National Provider Identifier) 1063545614 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Judith Diane Ellender is located?
The Judith Diane Ellender is situated at the following address: 910 1St Ave, Sulphur, LA, 706633425.
What is the area of specialization for Judith Diane Ellender, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Judith Diane Ellender is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063545614 to Judith Diane Ellender?
The Centers for Medicare & Medicaid Services originally issued the 1063545614 to Judith Diane Ellender on 2007-03-13.
When was the information pertaining to Judith Diane Ellender most recently updated or revised?
The details related to Judith Diane Ellender, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.