Derek A Fender is a General Practice in Macy, Nebraska. Derek A Fender practices all healthcare services and medical treatments related to General Practice. The NPI Number for Derek A Fender is 1164539573. The last update date is 2018-03-17.
Derek A Fender's current location address is 100 Indian Hills Drive, Macy, Nebraska. You can contact this provider via phone number 4028375381 and fax number 4028375271. The mailing address for Derek A Fender is 100 Indian Hills Drive, Macy, Nebraska. To know further, please read the information below!
Provider Profile Detail
Provider Name | Derek A Fender |
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Address | 100 Indian Hills Drive, Macy, Nebraska |
Phone Number | 4028375381 |
Fax Number | 4028375271 |
Sole Proprietor | Y |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1164539573 |
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Provider Enumeration Date | 2006-08-23 |
Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
Address | 100 Indian Hills Drive |
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City | Macy |
State | Nebraska (NE) |
Post Code | 680390250 |
Phone Number | 4028375381 |
Fax Number | 4028375271 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 5847 |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
PENDING | NE | -- | |
47084147000 | NE | -- | |
688400 | UNITED CONCORDIA ID # | ||
7833 | NE | BCBS ID # |
Post Comment/ Review Below
What is the Derek A Fender's 1164539573?
The Derek A Fender's NPI (National Provider Identifier) Number is 1164539573. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Derek A Fender?
The Derek A Fender is situated at 100 Indian Hills Drive, in the city of Macy, state of NE, with the zip code 680390250.
What is the Derek A Fender's area of specialization and corresponding taxonomy classification?
The Derek A Fender's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date was the 1164539573 assigned to Derek A Fender?
The Derek A Fender was issued its 1164539573 on 2006-08-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Derek A Fender most recently updated or refreshed?
The details pertaining to the Derek A Fender, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-03-17.