Thomas J Formanack in Omaha - General Practice
Thomas J Formanack - NPI 1023193182
Thomas J Formanack is a General Practice in Omaha, Nebraska. Thomas J Formanack practices all healthcare services and medical treatments related to General Practice. The NPI Number for Thomas J Formanack is 1023193182. The last update date is 2007-07-08.
Thomas J Formanack's current location address is 17775 Mason St, Omaha, Nebraska. You can contact this provider via phone number 4027589399 and fax number 4027580030. The mailing address for Thomas J Formanack is 17775 Mason St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas J Formanack |
|---|---|
| Address | 17775 Mason St, Omaha, Nebraska |
| Phone Number | 4027589399 |
| Fax Number | 4027580030 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1023193182 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 17775 Mason St |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681183559 |
| Phone Number | 4027589399 |
| Fax Number | 4027580030 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4024 |
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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 identification code assigned to Thomas J Formanack by the Centers for Medicare & Medicaid Services?
The Thomas J Formanack has been issued the NPI (National Provider Identifier) 1023193182. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Thomas J Formanack is physically located?
The Thomas J Formanack is situated at the following address: 17775 Mason St, Omaha, NE 681183559.
What is Thomas J Formanack's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Thomas J Formanack is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Thomas J Formanack receive the assignment of its 1023193182 from the Centers for Medicare & Medicaid Services?
The Thomas J Formanack was issued its 1023193182 by the Centers for Medicare & Medicaid Services on 2006-10-26.
As of what date were the Thomas J Formanack's details last updated?
The information pertaining to the Thomas J Formanack, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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