Harry Jerome Fondren in Saint Louis - General Practice

Harry Jerome Fondren - NPI 1972706158

Harry Jerome Fondren is a General Practice in Saint Louis, Missouri. Harry Jerome Fondren practices all healthcare services and medical treatments related to General Practice. The NPI Number for Harry Jerome Fondren is 1972706158. The last update date is 2007-07-08.

Harry Jerome Fondren's current location address is 7645 Delmar Blvd., Saint Louis, Missouri. You can contact this provider via phone number 3147276323 and fax number 3147279263. The mailing address for Harry Jerome Fondren is 7645 Delmar Blvd., Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Harry Jerome Fondren
Address 7645 Delmar Blvd., Saint Louis, Missouri
Phone Number 3147276323
Fax Number 3147279263
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1972706158
Provider Enumeration Date 2007-06-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7645 Delmar Blvd.
City Saint Louis
State Missouri (MO)
Post Code 63130
Phone Number 3147276323
Fax Number 3147279263

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 12216
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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FAQs about Harry Jerome Fondren

What is the unique identifier code issued to Harry Jerome Fondren by the Centers for Medicare & Medicaid Services?

The Harry Jerome Fondren has been assigned the NPI (National Provider Identifier) 1972706158. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Harry Jerome Fondren?

The Harry Jerome Fondren is situated at 7645 Delmar Blvd., in the city of Saint Louis, state of MO, with the zip code 63130.

What is Harry Jerome Fondren's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Harry Jerome Fondren's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

When did Harry Jerome Fondren receive its 1972706158 assignment?

The Harry Jerome Fondren was assigned its 1972706158 on 2007-06-06, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Harry Jerome Fondren, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Harry Jerome Fondren, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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