Ronald David Wismer in Beaverton - General Practice
Ronald David Wismer - NPI 1124023627
Ronald David Wismer is a General Practice in Beaverton, Oregon. Ronald David Wismer practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ronald David Wismer is 1124023627. The last update date is 2007-07-08.
Ronald David Wismer's current location address is 14125 Sw Farmington Rd, Beaverton, Oregon. You can contact this provider via phone number 5036463169 and fax number 5036461667. The mailing address for Ronald David Wismer is 14125 Sw Farmington Rd, Beaverton, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald David Wismer |
|---|---|
| Address | 14125 Sw Farmington Rd, Beaverton, Oregon |
| Phone Number | 5036463169 |
| Fax Number | 5036461667 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1124023627 |
|---|---|
| Provider Enumeration Date | 2005-06-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 14125 Sw Farmington Rd |
|---|---|
| City | Beaverton |
| State | Oregon (OR) |
| Post Code | 9700525670 |
| Phone Number | 5036463169 |
| Fax Number | 5036461667 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4284 |
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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 Ronald David Wismer by the Centers for Medicare & Medicaid Services?
The Ronald David Wismer has been issued the NPI (National Provider Identifier) 1124023627. This 10-digit code 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 Ronald David Wismer?
The Ronald David Wismer is physically situated at 14125 Sw Farmington Rd, in the city of Beaverton, state of OR, with the postal code 9700525670.
What is the area of specialization for Ronald David Wismer, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ronald David Wismer is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Ronald David Wismer receive its 1124023627 assignment from the Centers for Medicare & Medicaid Services?
The Ronald David Wismer was assigned its 1124023627 by the Centers for Medicare & Medicaid Services on 2005-06-20.
As of what date was the information pertaining to Ronald David Wismer, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ronald David Wismer, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.