John Harold Yaeger in Maple Grove - General Practice

John Harold Yaeger - NPI 1659305639

John Harold Yaeger is a General Practice in Maple Grove, Minnesota. John Harold Yaeger practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Harold Yaeger is 1659305639. The last update date is 2016-01-20.

John Harold Yaeger's current location address is 7490 E Fish Lake Rd, Maple Grove, Minnesota. You can contact this provider via phone number 7634204235 and fax number 7634205488. The mailing address for John Harold Yaeger is 7490 E Fish Lake Rd, Maple Grove, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name John Harold Yaeger
Address 7490 E Fish Lake Rd, Maple Grove, Minnesota
Phone Number 7634204235
Fax Number 7634205488
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1659305639
Provider Enumeration Date 2006-07-10
Last Updated Date 2016-01-20

Provider Mailing Address Detail

Address 7490 E Fish Lake Rd
City Maple Grove
State Minnesota (MN)
Post Code 553112736
Phone Number 7634204235
Fax Number 7634205488

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 8926
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
665818100 MN WELFARE NUMBER

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FAQs about John Harold Yaeger

What is the unique 10-digit identification code assigned to John Harold Yaeger by the Centers for Medicare & Medicaid Services?

The John Harold Yaeger has been issued the NPI (National Provider Identifier) 1659305639, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the John Harold Yaeger's physical address?

The John Harold Yaeger is physically located at 7490 E Fish Lake Rd, in the city of Maple Grove, MN, with the postal code 553112736.

What is John Harold Yaeger's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for John Harold Yaeger is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the John Harold Yaeger receive the assignment of its 1659305639 from the Centers for Medicare & Medicaid Services?

The John Harold Yaeger was issued its 1659305639 by the Centers for Medicare & Medicaid Services on 2006-07-10.

As of what date were the details related to John Harold Yaeger most recently updated or revised?

The information pertaining to John Harold Yaeger, including its address, specialty, and other relevant details, was last updated or revised on 2016-01-20.

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