Robert Etheridge in Camp Lejeune - General Practice

Robert Etheridge - NPI 1629058938

Robert Etheridge is a General Practice in Camp Lejeune, North Carolina. Robert Etheridge practices all healthcare services and medical treatments related to General Practice. The NPI Number for Robert Etheridge is 1629058938. The last update date is 2008-09-24.

Robert Etheridge's current location address is 315 Mchugh Blvd, Camp Lejeune, North Carolina. You can contact this provider via phone number 9104512208 and fax number 9104518036. The mailing address for Robert Etheridge is 315 Mchugh Blvd, Camp Lejeune, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Etheridge
Address 315 Mchugh Blvd, Camp Lejeune, North Carolina
Phone Number 9104512208
Fax Number 9104518036
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1629058938
Provider Enumeration Date 2006-01-20
Last Updated Date 2008-09-24

Provider Mailing Address Detail

Address 315 Mchugh Blvd
City Camp Lejeune
State North Carolina (NC)
Post Code 285472511
Phone Number 9104512208
Fax Number 9104518036

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 401005942
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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FAQs about Robert Etheridge

What is the unique 10-digit identifier code issued to Robert Etheridge by the Centers for Medicare & Medicaid Services?

The Robert Etheridge has been assigned the NPI (National Provider Identifier) 1629058938 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Robert Etheridge's facilities are situated?

The facilities of Robert Etheridge are physically located at the following address: 315 Mchugh Blvd, Camp Lejeune, NC, 285472511.

What is the Robert Etheridge's specialty and taxonomy code?

The Robert Etheridge's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did Robert Etheridge receive its 1629058938 assignment from the Centers for Medicare & Medicaid Services?

The Robert Etheridge was assigned its 1629058938 on 2006-01-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Robert Etheridge most recently updated or refreshed?

The details pertaining to the Robert Etheridge, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-09-24.

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