Michael Faddis in Saint Louis - General Practice
Michael Faddis - NPI 1114088036
Michael Faddis is a General Practice in Saint Louis, Missouri. Michael Faddis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael Faddis is 1114088036. The last update date is 2007-07-08.
Michael Faddis's current location address is 2440 S Brentwood Blvd, Saint Louis, Missouri. You can contact this provider via phone number 3149626643 and fax number 3149622205. The mailing address for Michael Faddis is 2440 S Brentwood Blvd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Faddis |
|---|---|
| Address | 2440 S Brentwood Blvd, Saint Louis, Missouri |
| Phone Number | 3149626643 |
| Fax Number | 3149622205 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1114088036 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2440 S Brentwood Blvd |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631442321 |
| Phone Number | 3149626643 |
| Fax Number | 3149622205 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 13100 |
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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 unique provider identifier assigned to Michael Faddis?
The Michael Faddis has been issued the NPI (National Provider Identifier) 1114088036 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Michael Faddis is located?
The Michael Faddis is situated at the following address: 2440 S Brentwood Blvd, Saint Louis, MO, 631442321.
What is the Michael Faddis's specialty and taxonomy code?
The Michael Faddis's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114088036 to Michael Faddis?
The Centers for Medicare & Medicaid Services assigned the 1114088036 to Michael Faddis on 2006-12-13.
When was the Michael Faddis's information last updated?
The Michael Faddis's information was last updated on 2007-07-08.