John Adam Petty in Minnetonka - General Practice
John Adam Petty - NPI 1437211448
John Adam Petty is a General Practice in Minnetonka, Minnesota. John Adam Petty practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Adam Petty is 1437211448. The last update date is 2007-07-08.
John Adam Petty's current location address is 11256 Deer Ridge Ln, Minnetonka, Minnesota. You can contact this provider via phone number 9529339614. The mailing address for John Adam Petty is 11256 Deer Ridge Ln, Minnetonka, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Adam Petty |
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Address | 11256 Deer Ridge Ln, Minnetonka, Minnesota |
Phone Number | 9529339614 |
Fax Number | |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1437211448 |
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Provider Enumeration Date | 2006-12-15 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 11256 Deer Ridge Ln |
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City | Minnetonka |
State | Minnesota (MN) |
Post Code | 553434122 |
Phone Number | 9529339614 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | D11708 |
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 |
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54913400 | MN | -- |
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What is the unique 10-digit identifier code issued to John Adam Petty by the Centers for Medicare & Medicaid Services?
The John Adam Petty has been assigned the NPI (National Provider Identifier) 1437211448 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the John Adam Petty located?
The John Adam Petty is located at 11256 Deer Ridge Ln, Minnetonka, MN 553434122.
What is the John Adam Petty's area of specialization and corresponding taxonomy classification?
The John Adam Petty's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
When did the John Adam Petty receive its 1437211448?
The John Adam Petty was issued its 1437211448 on 2006-12-15, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to John Adam Petty, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Adam Petty, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1457355786
Address: P. O. Box 2358 Snow Hill Road, Salisbury, MD