Jennifer Decota in Fenton - General Practice
Jennifer Decota - NPI 1780806109
Jennifer Decota is a General Practice in Fenton, Missouri. Jennifer Decota practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jennifer Decota is 1780806109. The last update date is 2007-07-08.
Jennifer Decota's current location address is 1391 Smizer Mill Rd, Fenton, Missouri. You can contact this provider via phone number 6363492400. The mailing address for Jennifer Decota is 1391 Smizer Mill Rd, Fenton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Decota |
|---|---|
| Address | 1391 Smizer Mill Rd, Fenton, Missouri |
| Phone Number | 6363492400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1780806109 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1391 Smizer Mill Rd |
|---|---|
| City | Fenton |
| State | Missouri (MO) |
| Post Code | 630267306 |
| Phone Number | 6363492400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2000158416 |
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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 Jennifer Decota's 1780806109?
The Jennifer Decota's NPI (National Provider Identifier) Number is 1780806109. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jennifer Decota is geographically located?
The Jennifer Decota is physically situated at the following location: 1391 Smizer Mill Rd, Fenton, MO, 630267306.
What is Jennifer Decota's area of expertise and its corresponding taxonomy classification?
The Jennifer Decota's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did Jennifer Decota receive its 1780806109 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Decota was assigned its 1780806109 on 2007-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jennifer Decota's details last updated?
The information pertaining to the Jennifer Decota, including its address, specialty, and other details, was most recently updated on 2007-07-08.