Mary Ellen Kingery in Clemmons - General Practice
Mary Ellen Kingery - NPI 1366587891
Mary Ellen Kingery is a General Practice in Clemmons, North Carolina. Mary Ellen Kingery practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mary Ellen Kingery is 1366587891. The last update date is 2007-07-08.
Mary Ellen Kingery's current location address is 2554 Lewisville Clemmons Rd, Clemmons, North Carolina. You can contact this provider via phone number 3367660511 and fax number 3367667390. The mailing address for Mary Ellen Kingery is 2554 Lewisville Clemmons Rd, Clemmons, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ellen Kingery |
|---|---|
| Address | 2554 Lewisville Clemmons Rd, Clemmons, North Carolina |
| Phone Number | 3367660511 |
| Fax Number | 3367667390 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1366587891 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2554 Lewisville Clemmons Rd |
|---|---|
| City | Clemmons |
| State | North Carolina (NC) |
| Post Code | 270128110 |
| Phone Number | 3367660511 |
| Fax Number | 3367667390 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5158 |
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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 10-digit identification code assigned to Mary Ellen Kingery by the Centers for Medicare & Medicaid Services?
The Mary Ellen Kingery has been issued the NPI (National Provider Identifier) 1366587891, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mary Ellen Kingery is physically located?
The Mary Ellen Kingery is physically situated at the following address: 2554 Lewisville Clemmons Rd, Clemmons, NC, 270128110.
What is Mary Ellen Kingery's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary Ellen Kingery is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1366587891 to Mary Ellen Kingery?
The Mary Ellen Kingery received its 1366587891 assignment from the Centers for Medicare & Medicaid Services on 2007-02-21.
When was the information pertaining to Mary Ellen Kingery most recently updated or revised?
The details related to Mary Ellen Kingery, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1982607495
Address: 12623 E 86th St, Indianapolis, IN