Peter Gus Diacoloukas in Rosedale - General Practice
Peter Gus Diacoloukas - NPI 1619096435
Peter Gus Diacoloukas is a General Practice in Rosedale, Maryland. Peter Gus Diacoloukas practices all healthcare services and medical treatments related to General Practice. The NPI Number for Peter Gus Diacoloukas is 1619096435. The last update date is 2007-07-08.
Peter Gus Diacoloukas's current location address is 8510 Philadelphia Rd, Rosedale, Maryland. You can contact this provider via phone number 4105742800 and fax number 4102380026. The mailing address for Peter Gus Diacoloukas is 8510 Philadelphia Rd, Rosedale, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Gus Diacoloukas |
|---|---|
| Address | 8510 Philadelphia Rd, Rosedale, Maryland |
| Phone Number | 4105742800 |
| Fax Number | 4102380026 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1619096435 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8510 Philadelphia Rd |
|---|---|
| City | Rosedale |
| State | Maryland (MD) |
| Post Code | 212373015 |
| Phone Number | 4105742800 |
| Fax Number | 4102380026 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 13383 |
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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 Peter Gus Diacoloukas's unique identification number?
The Peter Gus Diacoloukas has been assigned the NPI (National Provider Identifier) Number 1619096435 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Peter Gus Diacoloukas's facilities are situated?
The facilities of Peter Gus Diacoloukas are physically located at the following address: 8510 Philadelphia Rd, Rosedale, MD, 212373015.
What is the Peter Gus Diacoloukas's specialty and taxonomy code?
The Peter Gus Diacoloukas's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619096435 to Peter Gus Diacoloukas?
The Centers for Medicare & Medicaid Services assigned the 1619096435 to Peter Gus Diacoloukas on 2007-03-29.
When was the information regarding Peter Gus Diacoloukas most recently updated?
The details pertaining to the Peter Gus Diacoloukas, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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