Gary Ralph Smisek in Roseville - General Practice
Gary Ralph Smisek - NPI 1457322489
Gary Ralph Smisek is a General Practice in Roseville, Minnesota. Gary Ralph Smisek practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gary Ralph Smisek is 1457322489. The last update date is 2007-07-08.
Gary Ralph Smisek's current location address is 1986 Sharondale Ave, Roseville, Minnesota. You can contact this provider via phone number 6516364063 and fax number 1707760457. The mailing address for Gary Ralph Smisek is 1986 Sharondale Ave, Roseville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Ralph Smisek |
|---|---|
| Address | 1986 Sharondale Ave, Roseville, Minnesota |
| Phone Number | 6516364063 |
| Fax Number | 1707760457 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1457322489 |
|---|---|
| Provider Enumeration Date | 2006-01-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1986 Sharondale Ave |
|---|---|
| City | Roseville |
| State | Minnesota (MN) |
| Post Code | 551135437 |
| Phone Number | 6516364063 |
| Fax Number | 1707760457 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 7909 |
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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 Gary Ralph Smisek's 1457322489?
The Gary Ralph Smisek's NPI (National Provider Identifier) Number is 1457322489. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Gary Ralph Smisek's facilities are geographically located?
The facilities of Gary Ralph Smisek are physically situated at the following location: 1986 Sharondale Ave, Roseville, MN, 551135437.
What is Gary Ralph Smisek's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gary Ralph Smisek is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1457322489 to Gary Ralph Smisek?
The Centers for Medicare & Medicaid Services assigned the 1457322489 to Gary Ralph Smisek on 2006-01-28.
As of what date were the details pertaining to Gary Ralph Smisek last refreshed?
The information related to the Gary Ralph Smisek, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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