Bruce David Hustad in Duluth - General Practice
Bruce David Hustad - NPI 1225137805
Bruce David Hustad is a General Practice in Duluth, Minnesota. Bruce David Hustad practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bruce David Hustad is 1225137805. The last update date is 2007-10-30.
Bruce David Hustad's current location address is 1225 E 1st St, Duluth, Minnesota. You can contact this provider via phone number 2187286445 and fax number 2187247003. The mailing address for Bruce David Hustad is 1225 E 1st St, Duluth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce David Hustad |
|---|---|
| Address | 1225 E 1st St, Duluth, Minnesota |
| Phone Number | 2187286445 |
| Fax Number | 2187247003 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1225137805 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2007-10-30 |
Provider Mailing Address Detail
| Address | 1225 E 1st St |
|---|---|
| City | Duluth |
| State | Minnesota (MN) |
| Post Code | 558052402 |
| Phone Number | 2187286445 |
| Fax Number | 2187247003 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 7814 |
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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 |
|---|---|---|---|
| 1008116 | MN | PREFERRED ONE | |
| 41594HU | MN | BCBS MN | |
| HP37187 | MN | HEALTH PARTNERS | |
| 401549 | MN | UNITED CONCORDIA |
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What is the unique 10-digit identifier code issued to Bruce David Hustad by the Centers for Medicare & Medicaid Services?
The Bruce David Hustad has been assigned the NPI (National Provider Identifier) 1225137805 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Bruce David Hustad located?
The Bruce David Hustad is located at 1225 E 1St St, Duluth, MN 558052402.
What is the Bruce David Hustad's specialty and taxonomy code?
The Bruce David Hustad's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date was the 1225137805 assigned to Bruce David Hustad?
The Bruce David Hustad was issued its 1225137805 on 2006-09-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Bruce David Hustad most recently updated or revised?
The details related to Bruce David Hustad, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-30.
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