Susan Pancoast Eddleman in Rock Port - General Practice
Susan Pancoast Eddleman - NPI 1184610909
Susan Pancoast Eddleman is a General Practice in Rock Port, Missouri. Susan Pancoast Eddleman practices all healthcare services and medical treatments related to General Practice. The NPI Number for Susan Pancoast Eddleman is 1184610909. The last update date is 2007-07-08.
Susan Pancoast Eddleman's current location address is 204 S Main St, Rock Port, Missouri. You can contact this provider via phone number 6607445391. The mailing address for Susan Pancoast Eddleman is 204 S Main St, Rock Port, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Pancoast Eddleman |
|---|---|
| Address | 204 S Main St, Rock Port, Missouri |
| Phone Number | 6607445391 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1184610909 |
|---|---|
| Provider Enumeration Date | 2005-09-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 204 S Main St |
|---|---|
| City | Rock Port |
| State | Missouri (MO) |
| Post Code | 644821532 |
| Phone Number | 6607445391 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 14169 |
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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 |
|---|---|---|---|
| 13627011 | MO | BCBS OF KANSAS CITY |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Susan Pancoast Eddleman by the Centers for Medicare & Medicaid Services?
The Susan Pancoast Eddleman has been issued the NPI (National Provider Identifier) 1184610909, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Susan Pancoast Eddleman is located?
The Susan Pancoast Eddleman is situated at the following address: 204 S Main St, Rock Port, MO, 644821532.
What is the Susan Pancoast Eddleman's area of specialization and corresponding taxonomy classification?
The Susan Pancoast Eddleman's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
When did Susan Pancoast Eddleman receive its 1184610909 assignment?
The Susan Pancoast Eddleman was assigned its 1184610909 on 2005-09-27, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Susan Pancoast Eddleman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan Pancoast Eddleman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.