Vladimir Alexander Potepalov in Englishtown - General Practice

Vladimir Alexander Potepalov - NPI 1306811492

Vladimir Alexander Potepalov is a General Practice in Englishtown, New Jersey. Vladimir Alexander Potepalov practices all healthcare services and medical treatments related to General Practice. The NPI Number for Vladimir Alexander Potepalov is 1306811492. The last update date is 2007-07-08.

Vladimir Alexander Potepalov's current location address is 74 Route 9, Englishtown, New Jersey. You can contact this provider via phone number 7329727770 and fax number 7329727705. The mailing address for Vladimir Alexander Potepalov is 74 Route 9, Englishtown, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Vladimir Alexander Potepalov
Address 74 Route 9, Englishtown, New Jersey
Phone Number 7329727770
Fax Number 7329727705
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1306811492
Provider Enumeration Date 2006-02-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 74 Route 9
City Englishtown
State New Jersey (NJ)
Post Code 77269209
Phone Number 7329727770
Fax Number 7329727705

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 22DI02284000
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
71331 NJ --
51368 NY --

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FAQs about Vladimir Alexander Potepalov

What is the Vladimir Alexander Potepalov's unique identification number?

The Vladimir Alexander Potepalov has been assigned the NPI (National Provider Identifier) Number 1306811492 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Vladimir Alexander Potepalov's facilities are situated?

The facilities of Vladimir Alexander Potepalov are physically located at the following address: 74 Route 9, Englishtown, NJ, 77269209.

What is Vladimir Alexander Potepalov's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Vladimir Alexander Potepalov'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 1306811492 to Vladimir Alexander Potepalov?

The Vladimir Alexander Potepalov received its 1306811492 assignment from the Centers for Medicare & Medicaid Services on 2006-02-22.

As of what date were the details related to Vladimir Alexander Potepalov most recently updated or revised?

The information pertaining to Vladimir Alexander Potepalov, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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