Charles J. Edelen in Sidney - General Practice

Charles J. Edelen - NPI 1639223712

Charles J. Edelen is a General Practice in Sidney, Ohio. Charles J. Edelen practices all healthcare services and medical treatments related to General Practice. The NPI Number for Charles J. Edelen is 1639223712. The last update date is 2007-07-08.

Charles J. Edelen's current location address is 425 W Russell Rd, Sidney, Ohio. You can contact this provider via phone number 9374922848 and fax number 9374928615. The mailing address for Charles J. Edelen is 425 W Russell Rd, Sidney, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles J. Edelen
Address 425 W Russell Rd, Sidney, Ohio
Phone Number 9374922848
Fax Number 9374928615
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1639223712
Provider Enumeration Date 2007-01-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 425 W Russell Rd
City Sidney
State Ohio (OH)
Post Code 453651454
Phone Number 9374922848
Fax Number 9374928615

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 30017977
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
829170 OH --

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FAQs about Charles J. Edelen

What is the unique provider identifier assigned to Charles J. Edelen?

The Charles J. Edelen has been issued the NPI (National Provider Identifier) 1639223712 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Charles J. Edelen is physically located?

The Charles J. Edelen is situated at the following address: 425 W Russell Rd, Sidney, OH 453651454.

What is the Charles J. Edelen's specialty and taxonomy code?

The Charles J. Edelen's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

When did the Charles J. Edelen receive its 1639223712?

The Charles J. Edelen was issued its 1639223712 on 2007-01-23, which is the date when the organization was assigned this unique identifier.

As of what date were the Charles J. Edelen's details last updated?

The information pertaining to the Charles J. Edelen, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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