Jay Richard Pontious in Hermann - General Practice
Jay Richard Pontious - NPI 1881757110
Jay Richard Pontious is a General Practice in Hermann, Missouri. Jay Richard Pontious practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jay Richard Pontious is 1881757110. The last update date is 2007-07-08.
Jay Richard Pontious's current location address is 214 Schiller St, Hermann, Missouri. You can contact this provider via phone number 5734865431 and fax number 5734864577. The mailing address for Jay Richard Pontious is 214 Schiller St, Hermann, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Richard Pontious |
|---|---|
| Address | 214 Schiller St, Hermann, Missouri |
| Phone Number | 5734865431 |
| Fax Number | 5734864577 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1881757110 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 214 Schiller St |
|---|---|
| City | Hermann |
| State | Missouri (MO) |
| Post Code | 650411152 |
| Phone Number | 5734865431 |
| Fax Number | 5734864577 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2001033082 |
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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 |
|---|---|---|---|
| 33082 | DELTA DENTAL | ||
| 2001033082 | MO | MO DENTAL REGISTRATION # | |
| AP1037705 | CONTROLLED SUBSTANCES REG |
Post Comment/ Review Below
What is the unique identifier code issued to Jay Richard Pontious by the Centers for Medicare & Medicaid Services?
The Jay Richard Pontious has been assigned the NPI (National Provider Identifier) 1881757110. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jay Richard Pontious located?
The Jay Richard Pontious is located at 214 Schiller St, Hermann, MO 650411152.
What is Jay Richard Pontious's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jay Richard Pontious's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Jay Richard Pontious receive the assignment of its 1881757110 from the Centers for Medicare & Medicaid Services?
The Jay Richard Pontious was issued its 1881757110 by the Centers for Medicare & Medicaid Services on 2006-12-18.
As of what date were the details related to Jay Richard Pontious most recently updated or revised?
The information pertaining to Jay Richard Pontious, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.