Thomason Michael Mcconnell in Tahlequah - General Practice

Thomason Michael Mcconnell - NPI 1124049119

Thomason Michael Mcconnell is a General Practice in Tahlequah, Oklahoma. Thomason Michael Mcconnell practices all healthcare services and medical treatments related to General Practice. The NPI Number for Thomason Michael Mcconnell is 1124049119. The last update date is 2007-07-09.

Thomason Michael Mcconnell's current location address is 1200 W 4th St, Tahlequah, Oklahoma. You can contact this provider via phone number 9184589100 and fax number 9184589200. The mailing address for Thomason Michael Mcconnell is 1200 W 4th St, Tahlequah, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomason Michael Mcconnell
Address 1200 W 4th St, Tahlequah, Oklahoma
Phone Number 9184589100
Fax Number 9184589200
Sole Proprietor Y
Credentials D.D.S

NPI Number Detail

NPI Number 1124049119
Provider Enumeration Date 2006-07-22
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1200 W 4th St
City Tahlequah
State Oklahoma (OK)
Post Code 744645013
Phone Number 9184589100
Fax Number 9184589200

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5267
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
214781 VA BC/BS OF VIRGINIA
814714 PA UNITED CONCORDIA

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FAQs about Thomason Michael Mcconnell

What is the unique 10-digit identification code assigned to Thomason Michael Mcconnell by the Centers for Medicare & Medicaid Services?

The Thomason Michael Mcconnell has been issued the NPI (National Provider Identifier) 1124049119, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Thomason Michael Mcconnell?

The Thomason Michael Mcconnell is physically situated at 1200 W 4Th St, in the city of Tahlequah, state of OK, with the postal code 744645013.

What is Thomason Michael Mcconnell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Thomason Michael Mcconnell is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

When did Thomason Michael Mcconnell receive its 1124049119 assignment?

The Thomason Michael Mcconnell was assigned its 1124049119 on 2006-07-22, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Thomason Michael Mcconnell most recently updated or revised?

The information pertaining to Thomason Michael Mcconnell, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.

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