Kimberly Kerry Justus-Tauer in Islip - General Practice

Kimberly Kerry Justus-Tauer - NPI 1801962139

Kimberly Kerry Justus-Tauer is a General Practice in Islip, New York. Kimberly Kerry Justus-Tauer practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kimberly Kerry Justus-Tauer is 1801962139. The last update date is 2007-07-09.

Kimberly Kerry Justus-Tauer's current location address is 61 Nassau Ave, Islip, New York. You can contact this provider via phone number 6312775099 and fax number 6315810635. The mailing address for Kimberly Kerry Justus-Tauer is 61 Nassau Ave, Islip, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly Kerry Justus-Tauer
Address 61 Nassau Ave, Islip, New York
Phone Number 6312775099
Fax Number 6315810635
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1801962139
Provider Enumeration Date 2006-11-28
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 61 Nassau Ave
City Islip
State New York (NY)
Post Code 117513607
Phone Number 6312775099
Fax Number 6315810635

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 48183
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
2120327 NY --

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FAQs about Kimberly Kerry Justus-Tauer

What is the unique 10-digit identifier code issued to Kimberly Kerry Justus-Tauer by the Centers for Medicare & Medicaid Services?

The Kimberly Kerry Justus-Tauer has been assigned the NPI (National Provider Identifier) 1801962139 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Kimberly Kerry Justus-Tauer is located?

The Kimberly Kerry Justus-Tauer is situated at the following address: 61 Nassau Ave, Islip, NY, 117513607.

What is Kimberly Kerry Justus-Tauer's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kimberly Kerry Justus-Tauer is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1801962139 to Kimberly Kerry Justus-Tauer?

The Centers for Medicare & Medicaid Services assigned the 1801962139 to Kimberly Kerry Justus-Tauer on 2006-11-28.

As of what date was the information pertaining to Kimberly Kerry Justus-Tauer, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kimberly Kerry Justus-Tauer, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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