Dedric Rolf Mcbroom in Saint Cloud - General Practice
Dedric Rolf Mcbroom - NPI 1871663914
Dedric Rolf Mcbroom is a General Practice in Saint Cloud, Minnesota. Dedric Rolf Mcbroom practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dedric Rolf Mcbroom is 1871663914. The last update date is 2007-07-08.
Dedric Rolf Mcbroom's current location address is Po Box 280, Saint Cloud, Minnesota. You can contact this provider via phone number 3202526233 and fax number 3202529261. The mailing address for Dedric Rolf Mcbroom is Po Box 280, Saint Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dedric Rolf Mcbroom |
|---|---|
| Address | Po Box 280, Saint Cloud, Minnesota |
| Phone Number | 3202526233 |
| Fax Number | 3202529261 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1871663914 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 280 |
|---|---|
| City | Saint Cloud |
| State | Minnesota (MN) |
| Post Code | 563020280 |
| Phone Number | 3202526233 |
| Fax Number | 3202529261 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 11233 |
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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 issued to Dedric Rolf Mcbroom by the Centers for Medicare & Medicaid Services?
The Dedric Rolf Mcbroom has been assigned the NPI (National Provider Identifier) 1871663914 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Dedric Rolf Mcbroom's facilities are geographically located?
The facilities of Dedric Rolf Mcbroom are physically situated at the following location: Po Box 280, Saint Cloud, MN, 563020280.
What is Dedric Rolf Mcbroom's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dedric Rolf Mcbroom is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
When was the Dedric Rolf Mcbroom's 1871663914 issued?
The Dedric Rolf Mcbroom's 1871663914 was issued on 2006-11-08.
When was the Dedric Rolf Mcbroom's information last updated?
The Dedric Rolf Mcbroom's information was last updated on 2007-07-08.