Joseph Leo Waldvogel in Poplar Bluff - General Practice
Joseph Leo Waldvogel - NPI 1871780262
Joseph Leo Waldvogel is a General Practice in Poplar Bluff, Missouri. Joseph Leo Waldvogel practices all healthcare services and medical treatments related to General Practice. The NPI Number for Joseph Leo Waldvogel is 1871780262. The last update date is 2015-09-17.
Joseph Leo Waldvogel's current location address is 1500 N Westwood Blvd, Poplar Bluff, Missouri. You can contact this provider via phone number 5736864151. The mailing address for Joseph Leo Waldvogel is 1500 N Westwood Blvd, Poplar Bluff, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Leo Waldvogel |
|---|---|
| Address | 1500 N Westwood Blvd, Poplar Bluff, Missouri |
| Phone Number | 5736864151 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1871780262 |
|---|---|
| Provider Enumeration Date | 2007-09-28 |
| Last Updated Date | 2015-09-17 |
Provider Mailing Address Detail
| Address | 1500 N Westwood Blvd |
|---|---|
| City | Poplar Bluff |
| State | Missouri (MO) |
| Post Code | 639013318 |
| Phone Number | 5736864151 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 019-016659 |
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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 |
|---|---|---|---|
| 12 | IL | DENTAL PROVIDER |
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What is the unique identification code assigned to Joseph Leo Waldvogel by the Centers for Medicare & Medicaid Services?
The Joseph Leo Waldvogel has been issued the NPI (National Provider Identifier) 1871780262. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Joseph Leo Waldvogel's facilities are situated?
The facilities of Joseph Leo Waldvogel are physically located at the following address: 1500 N Westwood Blvd, Poplar Bluff, MO, 639013318.
What is Joseph Leo Waldvogel's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Joseph Leo Waldvogel'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 Joseph Leo Waldvogel receive its 1871780262 assignment from the Centers for Medicare & Medicaid Services?
The Joseph Leo Waldvogel was assigned its 1871780262 by the Centers for Medicare & Medicaid Services on 2007-09-28.
When was the information related to Joseph Leo Waldvogel most recently updated or refreshed?
The details pertaining to the Joseph Leo Waldvogel, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-09-17.
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