Jay D Samuelson is a General Practice in Omaha, Nebraska. Jay D Samuelson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jay D Samuelson is 1093839748. The last update date is 2007-07-08.
Jay D Samuelson's current location address is 13808 W Maple Rd, Omaha, Nebraska. You can contact this provider via phone number 4024454647 and fax number 4024458370. The mailing address for Jay D Samuelson is 13808 W Maple Rd, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay D Samuelson |
|---|---|
| Address | 13808 W Maple Rd, Omaha, Nebraska |
| Phone Number | 4024454647 |
| Fax Number | 4024458370 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1093839748 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13808 W Maple Rd |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681646231 |
| Phone Number | 4024454647 |
| Fax Number | 4024458370 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 6078 |
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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 10-digit identifier code assigned to Jay D Samuelson by the Centers for Medicare & Medicaid Services?
The Jay D Samuelson has been issued the NPI (National Provider Identifier) 1093839748 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jay D Samuelson's physical address?
The Jay D Samuelson is physically located at 13808 W Maple Rd, in the city of Omaha, NE, with the postal code 681646231.
What is Jay D Samuelson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jay D Samuelson is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date was the 1093839748 assigned to Jay D Samuelson?
The Jay D Samuelson was issued its 1093839748 on 2007-03-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jay D Samuelson most recently updated or revised?
The information pertaining to Jay D Samuelson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.