Travis James Antholz in Lincoln - General Practice
Travis James Antholz - NPI 1124078845
Travis James Antholz is a General Practice in Lincoln, Nebraska. Travis James Antholz practices all healthcare services and medical treatments related to General Practice. The NPI Number for Travis James Antholz is 1124078845. The last update date is 2007-07-08.
Travis James Antholz's current location address is 3445 O St, Lincoln, Nebraska. You can contact this provider via phone number 4024743445 and fax number 4024746061. The mailing address for Travis James Antholz is 3445 O St, Lincoln, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Travis James Antholz |
|---|---|
| Address | 3445 O St, Lincoln, Nebraska |
| Phone Number | 4024743445 |
| Fax Number | 4024746061 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1124078845 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3445 O St |
|---|---|
| City | Lincoln |
| State | Nebraska (NE) |
| Post Code | 685101541 |
| Phone Number | 4024743445 |
| Fax Number | 4024746061 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 6477 |
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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 |
|---|---|---|---|
| 4761 | BC BS | ||
| 1642002 | UNITED CONCORDIA |
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What is the unique identifier code issued to Travis James Antholz by the Centers for Medicare & Medicaid Services (CMS)?
The Travis James Antholz has been assigned the NPI (National Provider Identifier) 1124078845. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Travis James Antholz located?
The Travis James Antholz is located at 3445 O St, Lincoln, NE 685101541.
What is Travis James Antholz's specialized field of practice, and what is the corresponding taxonomy classification code?
The Travis James Antholz's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124078845 to Travis James Antholz?
The Travis James Antholz received its 1124078845 assignment from the Centers for Medicare & Medicaid Services on 2006-05-11.
As of what date were the Travis James Antholz's details last updated?
The information pertaining to the Travis James Antholz, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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