Vasilios Vagenas in Brockton - General Practice

Vasilios Vagenas - NPI 1699810812

Vasilios Vagenas is a General Practice in Brockton, Massachusetts. Vasilios Vagenas practices all healthcare services and medical treatments related to General Practice. The NPI Number for Vasilios Vagenas is 1699810812. The last update date is 2007-07-08.

Vasilios Vagenas's current location address is 5 Torrey Street, Brockton, Massachusetts. You can contact this provider via phone number 5085864276 and fax number 5085131403. The mailing address for Vasilios Vagenas is 5 Torrey Street, Brockton, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Vasilios Vagenas
Address 5 Torrey Street, Brockton, Massachusetts
Phone Number 5085864276
Fax Number 5085131403
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1699810812
Provider Enumeration Date 2007-02-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5 Torrey Street
City Brockton
State Massachusetts (MA)
Post Code 2301
Phone Number 5085864276
Fax Number 5085131403

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 18888
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
X11937 MA BLUE CROSS B SHIELD MA

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FAQs about Vasilios Vagenas

What is the Vasilios Vagenas's 1699810812?

The Vasilios Vagenas's NPI (National Provider Identifier) Number is 1699810812. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Vasilios Vagenas is physically located?

The Vasilios Vagenas is physically situated at the following address: 5 Torrey Street, Brockton, MA, 2301.

What is the area of specialization for Vasilios Vagenas, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Vasilios Vagenas 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 issue the 1699810812 to Vasilios Vagenas?

The Vasilios Vagenas received its 1699810812 assignment from the Centers for Medicare & Medicaid Services on 2007-02-21.

As of what date were the details pertaining to Vasilios Vagenas last refreshed?

The information related to the Vasilios Vagenas, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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