Andrea Renae Gaddis in Vicksburg - General Practice
Andrea Renae Gaddis - NPI 1528160140
Andrea Renae Gaddis is a General Practice in Vicksburg, Mississippi. Andrea Renae Gaddis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Andrea Renae Gaddis is 1528160140. The last update date is 2007-07-09.
Andrea Renae Gaddis's current location address is 1426 Summer Seat Rd, Vicksburg, Mississippi. You can contact this provider via phone number 6016937918 and fax number 6014832217. The mailing address for Andrea Renae Gaddis is 1426 Summer Seat Rd, Vicksburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Andrea Renae Gaddis |
---|---|
Address | 1426 Summer Seat Rd, Vicksburg, Mississippi |
Phone Number | 6016937918 |
Fax Number | 6014832217 |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1528160140 |
---|---|
Provider Enumeration Date | 2006-09-03 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 1426 Summer Seat Rd |
---|---|
City | Vicksburg |
State | Mississippi (MS) |
Post Code | 391839270 |
Phone Number | 6016937918 |
Fax Number | 6014832217 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
---|---|
Taxonomy | 1223G0001X |
Licence No | 3155-00 |
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 |
---|---|---|---|
660373 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Andrea Renae Gaddis by the Centers for Medicare & Medicaid Services (CMS)?
The Andrea Renae Gaddis has been assigned the NPI (National Provider Identifier) 1528160140. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Andrea Renae Gaddis's physical address?
The Andrea Renae Gaddis is physically located at 1426 Summer Seat Rd, in the city of Vicksburg, MS, with the postal code 391839270.
What is Andrea Renae Gaddis'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 Andrea Renae Gaddis is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did Andrea Renae Gaddis receive its 1528160140 assignment from the Centers for Medicare & Medicaid Services?
The Andrea Renae Gaddis was assigned its 1528160140 on 2006-09-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Andrea Renae Gaddis's information last updated?
The Andrea Renae Gaddis's information was last updated on 2007-07-09.