Jonathan David Trecker in Springfield - General Practice

Jonathan David Trecker - NPI 1568557007

Jonathan David Trecker is a General Practice in Springfield, Massachusetts. Jonathan David Trecker practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jonathan David Trecker is 1568557007. The last update date is 2007-07-08.

Jonathan David Trecker's current location address is 1235 Sumner Ave, Springfield, Massachusetts. You can contact this provider via phone number 4137825159 and fax number 4137837094. The mailing address for Jonathan David Trecker is 1235 Sumner Ave, Springfield, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan David Trecker
Address 1235 Sumner Ave, Springfield, Massachusetts
Phone Number 4137825159
Fax Number 4137837094
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1568557007
Provider Enumeration Date 2006-10-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1235 Sumner Ave
City Springfield
State Massachusetts (MA)
Post Code 11182160
Phone Number 4137825159
Fax Number 4137837094

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 18981
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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FAQs about Jonathan David Trecker

What is the unique identifier code issued to Jonathan David Trecker by the Centers for Medicare & Medicaid Services (CMS)?

The Jonathan David Trecker has been assigned the NPI (National Provider Identifier) 1568557007. 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 Jonathan David Trecker is located?

The Jonathan David Trecker is situated at the following address: 1235 Sumner Ave, Springfield, MA, 11182160.

What is Jonathan David Trecker's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jonathan David Trecker's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Jonathan David Trecker receive its 1568557007 assignment from the Centers for Medicare & Medicaid Services?

The Jonathan David Trecker was assigned its 1568557007 by the Centers for Medicare & Medicaid Services on 2006-10-03.

As of what date were the details related to Jonathan David Trecker most recently updated or revised?

The information pertaining to Jonathan David Trecker, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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