F C Requa Dds Pa in Austin - General Practice
F C Requa Dds Pa - NPI 1407930415
F C Requa Dds Pa is a General Practice in Austin, Minnesota. F C Requa Dds Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for F C Requa Dds Pa is 1407930415. The last update date is 2020-08-22.
F C Requa Dds Pa's current location address is 400 3rd Ave Nw, Austin, Minnesota. You can contact this provider via phone number 5074331641. The mailing address for F C Requa Dds Pa is 400 3rd Ave Nw, Austin, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | F C Requa Dds Pa |
|---|---|
| Address | 400 3rd Ave Nw, Austin, Minnesota |
| Phone Number | 5074331641 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRES |
|---|---|
| Authorized Official Name | Requa C Frederick |
| Credentials | DDS |
| Telephone Number | 5074331641 |
NPI Number Detail
| NPI Number | 1407930415 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 400 3rd Ave Nw |
|---|---|
| City | Austin |
| State | Minnesota (MN) |
| Post Code | 55912 |
| Phone Number | 5074331641 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 6155 |
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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 unique provider identifier assigned to F C Requa Dds Pa?
The F C Requa Dds Pa has been issued the NPI (National Provider Identifier) 1407930415 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of F C Requa Dds Pa?
The F C Requa Dds Pa is situated at 400 3Rd Ave Nw, in the city of Austin, state of MN, with the zip code 55912.
What is the F C Requa Dds Pa's area of specialization and corresponding taxonomy classification?
The F C Requa Dds Pa's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1407930415 to F C Requa Dds Pa?
The F C Requa Dds Pa received its 1407930415 assignment from the Centers for Medicare & Medicaid Services on 2006-10-25.
When was the F C Requa Dds Pa's information last updated?
The F C Requa Dds Pa's information was last updated on 2020-08-22.