John C Boeker is a General Practice in Rochester, Minnesota. John C Boeker practices all healthcare services and medical treatments related to General Practice. The NPI Number for John C Boeker is 1720073554. The last update date is 2007-07-08.
John C Boeker's current location address is 4486 Ettenmoor Ln Sw, Rochester, Minnesota. You can contact this provider via phone number 5072880177. The mailing address for John C Boeker is 4486 Ettenmoor Ln Sw, Rochester, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John C Boeker |
|---|---|
| Address | 4486 Ettenmoor Ln Sw, Rochester, Minnesota |
| Phone Number | 5072880177 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1720073554 |
|---|---|
| Provider Enumeration Date | 2005-09-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4486 Ettenmoor Ln Sw |
|---|---|
| City | Rochester |
| State | Minnesota (MN) |
| Post Code | 559028741 |
| Phone Number | 5072880177 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 10358 |
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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 10-digit identification code assigned to John C Boeker by the Centers for Medicare & Medicaid Services?
The John C Boeker has been issued the NPI (National Provider Identifier) 1720073554, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where John C Boeker's facilities are geographically located?
The facilities of John C Boeker are physically situated at the following location: 4486 Ettenmoor Ln Sw, Rochester, MN, 559028741.
What is John C Boeker'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 C Boeker is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
When did the John C Boeker receive its 1720073554?
The John C Boeker was issued its 1720073554 on 2005-09-19, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to John C Boeker last refreshed?
The information related to the John C Boeker, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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