Donald Edward Isselhard in Creve Coeur - General Practice

Donald Edward Isselhard - NPI 1952412991

Donald Edward Isselhard is a General Practice in Creve Coeur, Missouri. Donald Edward Isselhard practices all healthcare services and medical treatments related to General Practice. The NPI Number for Donald Edward Isselhard is 1952412991. The last update date is 2007-07-08.

Donald Edward Isselhard's current location address is 12401 Olive Blvd, Creve Coeur, Missouri. You can contact this provider via phone number 3142759009 and fax number 3142759010. The mailing address for Donald Edward Isselhard is 12401 Olive Blvd, Creve Coeur, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Donald Edward Isselhard
Address 12401 Olive Blvd, Creve Coeur, Missouri
Phone Number 3142759009
Fax Number 3142759010
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1952412991
Provider Enumeration Date 2006-08-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12401 Olive Blvd
City Creve Coeur
State Missouri (MO)
Post Code 631415448
Phone Number 3142759009
Fax Number 3142759010

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 10765
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
200666093 MO CORPRATION TAX ID
793073 PA UNITED CONCORDIA

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FAQs about Donald Edward Isselhard

What is the Donald Edward Isselhard's unique identification number?

The Donald Edward Isselhard has been assigned the NPI (National Provider Identifier) Number 1952412991 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Donald Edward Isselhard is physically located?

The Donald Edward Isselhard is physically situated at the following address: 12401 Olive Blvd, Creve Coeur, MO, 631415448.

What is Donald Edward Isselhard's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Donald Edward Isselhard is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date was the 1952412991 assigned to Donald Edward Isselhard?

The Donald Edward Isselhard was issued its 1952412991 on 2006-08-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Donald Edward Isselhard most recently updated or revised?

The information pertaining to Donald Edward Isselhard, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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