Timothy Gordon Case in Saint Louis - General Practice
Timothy Gordon Case - NPI 1760504443
Timothy Gordon Case is a General Practice in Saint Louis, Missouri. Timothy Gordon Case practices all healthcare services and medical treatments related to General Practice. The NPI Number for Timothy Gordon Case is 1760504443. The last update date is 2007-07-08.
Timothy Gordon Case's current location address is 4300 Holly Hills Blvd, Saint Louis, Missouri. You can contact this provider via phone number 3143515555 and fax number 3143515257. The mailing address for Timothy Gordon Case is 4300 Holly Hills Blvd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Timothy Gordon Case |
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Address | 4300 Holly Hills Blvd, Saint Louis, Missouri |
Phone Number | 3143515555 |
Fax Number | 3143515257 |
Sole Proprietor | Y |
Credentials | DMD |
NPI Number Detail
NPI Number | 1760504443 |
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Provider Enumeration Date | 2007-04-04 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4300 Holly Hills Blvd |
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City | Saint Louis |
State | Missouri (MO) |
Post Code | 631162253 |
Phone Number | 3143515555 |
Fax Number | 3143515257 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | MO14638 |
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 10-digit identification code assigned to Timothy Gordon Case by the Centers for Medicare & Medicaid Services?
The Timothy Gordon Case has been issued the NPI (National Provider Identifier) 1760504443, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Timothy Gordon Case?
The Timothy Gordon Case is situated at 4300 Holly Hills Blvd, in the city of Saint Louis, state of MO, with the zip code 631162253.
What is Timothy Gordon Case's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Timothy Gordon Case'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 Centers for Medicare & Medicaid Services issue the 1760504443 to Timothy Gordon Case?
The Timothy Gordon Case received its 1760504443 assignment from the Centers for Medicare & Medicaid Services on 2007-04-04.
As of what date were the Timothy Gordon Case's details last updated?
The information pertaining to the Timothy Gordon Case, including its address, specialty, and other details, was most recently updated on 2007-07-08.