Kevin Bruce Koebley in Smithfield - General Practice
Kevin Bruce Koebley - NPI 1083789721
Kevin Bruce Koebley is a General Practice in Smithfield, North Carolina. Kevin Bruce Koebley practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kevin Bruce Koebley is 1083789721. The last update date is 2007-07-08.
Kevin Bruce Koebley's current location address is 710 Wilkins St, Smithfield, North Carolina. You can contact this provider via phone number 9199344664 and fax number 9199345693. The mailing address for Kevin Bruce Koebley is 710 Wilkins St, Smithfield, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Bruce Koebley |
|---|---|
| Address | 710 Wilkins St, Smithfield, North Carolina |
| Phone Number | 9199344664 |
| Fax Number | 9199345693 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1083789721 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 710 Wilkins St |
|---|---|
| City | Smithfield |
| State | North Carolina (NC) |
| Post Code | 275774648 |
| Phone Number | 9199344664 |
| Fax Number | 9199345693 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4364 |
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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 identification code assigned to Kevin Bruce Koebley by the Centers for Medicare & Medicaid Services?
The Kevin Bruce Koebley has been issued the NPI (National Provider Identifier) 1083789721. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kevin Bruce Koebley's facilities are geographically located?
The facilities of Kevin Bruce Koebley are physically situated at the following location: 710 Wilkins St, Smithfield, NC, 275774648.
What is Kevin Bruce Koebley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kevin Bruce Koebley's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did Kevin Bruce Koebley receive its 1083789721 assignment from the Centers for Medicare & Medicaid Services?
The Kevin Bruce Koebley was assigned its 1083789721 on 2006-11-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kevin Bruce Koebley most recently updated or revised?
The information pertaining to Kevin Bruce Koebley, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.