John Phillip Gonzales in Cass Lake - General Practice
John Phillip Gonzales - NPI 1477679876
John Phillip Gonzales is a General Practice in Cass Lake, Minnesota. John Phillip Gonzales practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Phillip Gonzales is 1477679876. The last update date is 2021-06-11.
John Phillip Gonzales's current location address is 425 7th St Nw, Cass Lake, Minnesota. You can contact this provider via phone number 2183353230. The mailing address for John Phillip Gonzales is 425 7th St Nw, Cass Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Phillip Gonzales |
|---|---|
| Address | 425 7th St Nw, Cass Lake, Minnesota |
| Phone Number | 2183353230 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1477679876 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2021-06-11 |
Provider Mailing Address Detail
| Address | 425 7th St Nw |
|---|---|
| City | Cass Lake |
| State | Minnesota (MN) |
| Post Code | 566333360 |
| Phone Number | 2183353230 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 1859 |
|
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 |
|---|---|---|---|
| 41327 | ND | -- | |
| 949039 | ND | DENTAL SERVICE CORP. | |
| 000001859ND | ND | DELTA DENTAL USA | |
| 23946 | ND | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to John Phillip Gonzales by the Centers for Medicare & Medicaid Services?
The John Phillip Gonzales has been issued the NPI (National Provider Identifier) 1477679876, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of John Phillip Gonzales?
The John Phillip Gonzales is physically situated at 425 7Th St Nw, in the city of Cass Lake, state of MN, with the postal code 566333360.
What is the John Phillip Gonzales's specialty and taxonomy code?
The John Phillip Gonzales's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did John Phillip Gonzales receive its 1477679876 assignment from the Centers for Medicare & Medicaid Services?
The John Phillip Gonzales was assigned its 1477679876 on 2007-03-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the John Phillip Gonzales's details last updated?
The information pertaining to the John Phillip Gonzales, including its address, specialty, and other details, was most recently updated on 2021-06-11.