Autumn Ridge Dental Partnership in Kosciusko - General Practice
Autumn Ridge Dental Partnership - NPI 1275750531
Autumn Ridge Dental Partnership is a General Practice in Kosciusko, Mississippi. Autumn Ridge Dental Partnership practices all healthcare services and medical treatments related to General Practice. The NPI Number for Autumn Ridge Dental Partnership is 1275750531. The last update date is 2011-01-03.
Autumn Ridge Dental Partnership's current location address is 101 Ridgewood Cir, Kosciusko, Mississippi. You can contact this provider via phone number 6622897076 and fax number 6622897050. The mailing address for Autumn Ridge Dental Partnership is 101 Ridgewood Cir, Kosciusko, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Autumn Ridge Dental Partnership |
|---|---|
| Address | 101 Ridgewood Cir, Kosciusko, Mississippi |
| Phone Number | 6622897076 |
| Fax Number | 6622897050 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Weaver Q Donald |
| Credentials | D.M.D. |
| Telephone Number | 6622897076 |
NPI Number Detail
| NPI Number | 1275750531 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2011-01-03 |
Provider Mailing Address Detail
| Address | 101 Ridgewood Cir |
|---|---|
| City | Kosciusko |
| State | Mississippi (MS) |
| Post Code | 390903265 |
| Phone Number | 6622897076 |
| Fax Number | 6622897050 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 1686-75 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9014559 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Autumn Ridge Dental Partnership by the Centers for Medicare & Medicaid Services?
The Autumn Ridge Dental Partnership has been issued the NPI (National Provider Identifier) 1275750531. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Autumn Ridge Dental Partnership?
The Autumn Ridge Dental Partnership is situated at 101 Ridgewood Cir, in the city of Kosciusko, state of MS, with the zip code 390903265.
What is Autumn Ridge Dental Partnership's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Autumn Ridge Dental Partnership is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date was the 1275750531 assigned to Autumn Ridge Dental Partnership?
The Autumn Ridge Dental Partnership was issued its 1275750531 on 2007-04-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Autumn Ridge Dental Partnership most recently updated?
The details pertaining to the Autumn Ridge Dental Partnership, including its address, specialty, and other relevant information, were last refreshed on 2011-01-03.
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