Amanda Louise Bon Vesterso in Grand Forks - General Practice
Amanda Louise Bon Vesterso - NPI 1629239637
Amanda Louise Bon Vesterso is a General Practice in Grand Forks, North Dakota. Amanda Louise Bon Vesterso practices all healthcare services and medical treatments related to General Practice. The NPI Number for Amanda Louise Bon Vesterso is 1629239637. The last update date is 2008-06-23.
Amanda Louise Bon Vesterso's current location address is 2810 17th Ave S, Grand Forks, North Dakota. You can contact this provider via phone number 7017750641 and fax number 7017469328. The mailing address for Amanda Louise Bon Vesterso is 2810 17th Ave S, Grand Forks, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Louise Bon Vesterso |
|---|---|
| Address | 2810 17th Ave S, Grand Forks, North Dakota |
| Phone Number | 7017750641 |
| Fax Number | 7017469328 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1629239637 |
|---|---|
| Provider Enumeration Date | 2008-06-23 |
| Last Updated Date | 2008-06-23 |
Provider Mailing Address Detail
| Address | 2810 17th Ave S |
|---|---|
| City | Grand Forks |
| State | North Dakota (ND) |
| Post Code | 582014010 |
| Phone Number | 7017750641 |
| Fax Number | 7017469328 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2037 |
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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 identifier code issued to Amanda Louise Bon Vesterso by the Centers for Medicare & Medicaid Services?
The Amanda Louise Bon Vesterso has been assigned the NPI (National Provider Identifier) 1629239637 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 address where Amanda Louise Bon Vesterso is physically located?
The Amanda Louise Bon Vesterso is situated at the following address: 2810 17Th Ave S, Grand Forks, ND 582014010.
What is Amanda Louise Bon Vesterso's area of expertise and its corresponding taxonomy classification?
The Amanda Louise Bon Vesterso's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Amanda Louise Bon Vesterso receive its 1629239637 assignment from the Centers for Medicare & Medicaid Services?
The Amanda Louise Bon Vesterso was assigned its 1629239637 by the Centers for Medicare & Medicaid Services on 2008-06-23.
When was the information pertaining to Amanda Louise Bon Vesterso most recently updated or revised?
The details related to Amanda Louise Bon Vesterso, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-23.