Elissa Heard is a General Practice in Quincy, Massachusetts. Elissa Heard practices all healthcare services and medical treatments related to General Practice. The NPI Number for Elissa Heard is 1407917552. The last update date is 2007-07-08.
Elissa Heard's current location address is 111 Willard St, Quincy, Massachusetts. You can contact this provider via phone number 6174718640 and fax number 6174719328. The mailing address for Elissa Heard is 111 Willard St, Quincy, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elissa Heard |
|---|---|
| Address | 111 Willard St, Quincy, Massachusetts |
| Phone Number | 6174718640 |
| Fax Number | 6174719328 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1407917552 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 111 Willard St |
|---|---|
| City | Quincy |
| State | Massachusetts (MA) |
| Post Code | 2169 |
| Phone Number | 6174718640 |
| Fax Number | 6174719328 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 13671 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4983 | BCBS | ||
| 1131 | DELTA |
Post Comment/ Review Below
What is the unique identifier code issued to Elissa Heard by the Centers for Medicare & Medicaid Services (CMS)?
The Elissa Heard has been assigned the NPI (National Provider Identifier) 1407917552. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Elissa Heard is located?
The Elissa Heard is situated at the following address: 111 Willard St, Quincy, MA, 2169.
What is Elissa Heard's specialized field of practice, and what is the corresponding taxonomy classification code?
The Elissa Heard's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date was the 1407917552 assigned to Elissa Heard?
The Elissa Heard was issued its 1407917552 on 2006-12-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Elissa Heard last refreshed?
The information related to the Elissa Heard, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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