Spencer Alexander Marrero in Beaverton - General Practice
Spencer Alexander Marrero - NPI 1194928390
Spencer Alexander Marrero is a General Practice in Beaverton, Oregon. Spencer Alexander Marrero practices all healthcare services and medical treatments related to General Practice. The NPI Number for Spencer Alexander Marrero is 1194928390. The last update date is 2007-07-08.
Spencer Alexander Marrero's current location address is 16400 Sw Hart Rd, Beaverton, Oregon. You can contact this provider via phone number 5036497701. The mailing address for Spencer Alexander Marrero is 16400 Sw Hart Rd, Beaverton, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Spencer Alexander Marrero |
|---|---|
| Address | 16400 Sw Hart Rd, Beaverton, Oregon |
| Phone Number | 5036497701 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1194928390 |
|---|---|
| Provider Enumeration Date | 2007-06-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 16400 Sw Hart Rd |
|---|---|
| City | Beaverton |
| State | Oregon (OR) |
| Post Code | 970073457 |
| Phone Number | 5036497701 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D6089 |
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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 identification code assigned to Spencer Alexander Marrero by the Centers for Medicare & Medicaid Services?
The Spencer Alexander Marrero has been issued the NPI (National Provider Identifier) 1194928390, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Spencer Alexander Marrero's physical address?
The Spencer Alexander Marrero is physically located at 16400 Sw Hart Rd, in the city of Beaverton, OR, with the postal code 970073457.
What is Spencer Alexander Marrero's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Spencer Alexander Marrero's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194928390 to Spencer Alexander Marrero?
The Spencer Alexander Marrero received its 1194928390 assignment from the Centers for Medicare & Medicaid Services on 2007-06-06.
As of what date were the details related to Spencer Alexander Marrero most recently updated or revised?
The information pertaining to Spencer Alexander Marrero, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.