Bethany K Tant in Jacksonville - General Practice

Bethany K Tant - NPI 1588644611

Bethany K Tant is a General Practice in Jacksonville, North Carolina. Bethany K Tant practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bethany K Tant is 1588644611. The last update date is 2015-07-02.

Bethany K Tant's current location address is 3160 Henderson Dr, Jacksonville, North Carolina. You can contact this provider via phone number 9103465600 and fax number 9103465396. The mailing address for Bethany K Tant is 3160 Henderson Dr, Jacksonville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Bethany K Tant
Address 3160 Henderson Dr, Jacksonville, North Carolina
Phone Number 9103465600
Fax Number 9103465396
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1588644611
Provider Enumeration Date 2006-01-17
Last Updated Date 2015-07-02

Provider Mailing Address Detail

Address 3160 Henderson Dr
City Jacksonville
State North Carolina (NC)
Post Code 285465248
Phone Number 9103465600
Fax Number 9103465396

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 7813
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
2060755 NC UCCI
5908945 NC --

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FAQs about Bethany K Tant

What is the Bethany K Tant's 1588644611?

The Bethany K Tant's NPI (National Provider Identifier) Number is 1588644611. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Bethany K Tant is geographically located?

The Bethany K Tant is physically situated at the following location: 3160 Henderson Dr, Jacksonville, NC, 285465248.

What is Bethany K Tant's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Bethany K Tant is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

When did the Bethany K Tant receive its 1588644611?

The Bethany K Tant was issued its 1588644611 on 2006-01-17, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Bethany K Tant last refreshed?

The information related to the Bethany K Tant, including its address, specialty, and other relevant details, was last updated on 2015-07-02.

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