Kirk Scott Wondra in Rio Rancho - General Practice
Kirk Scott Wondra - NPI 1609809656
Kirk Scott Wondra is a General Practice in Rio Rancho, New Mexico. Kirk Scott Wondra practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kirk Scott Wondra is 1609809656. The last update date is 2007-07-08.
Kirk Scott Wondra's current location address is 4320 Ridgecrest Dr Se Ste E, Rio Rancho, New Mexico. You can contact this provider via phone number 5058911100 and fax number 5058911094. The mailing address for Kirk Scott Wondra is 4320 Ridgecrest Dr Se Ste E, Rio Rancho, New Mexico. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kirk Scott Wondra |
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Address | 4320 Ridgecrest Dr Se Ste E, Rio Rancho, New Mexico |
Phone Number | 5058911100 |
Fax Number | 5058911094 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1609809656 |
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Provider Enumeration Date | 2006-07-09 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4320 Ridgecrest Dr Se Ste E |
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City | Rio Rancho |
State | New Mexico (NM) |
Post Code | 871245971 |
Phone Number | 5058911100 |
Fax Number | 5058911094 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 1796 |
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 |
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817303 | NM | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kirk Scott Wondra by the Centers for Medicare & Medicaid Services?
The Kirk Scott Wondra has been issued the NPI (National Provider Identifier) 1609809656 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Kirk Scott Wondra?
The Kirk Scott Wondra is situated at 4320 Ridgecrest Dr Se Ste E, in the city of Rio Rancho, state of NM, with the zip code 871245971.
What is Kirk Scott Wondra'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 Kirk Scott Wondra is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
When did the Kirk Scott Wondra receive its 1609809656?
The Kirk Scott Wondra was issued its 1609809656 on 2006-07-09, which is the date when the organization was assigned this unique identifier.
When was the information related to Kirk Scott Wondra most recently updated or refreshed?
The details pertaining to the Kirk Scott Wondra, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.