Steven Raymond Dierickx in Forest Grove - General Practice
Steven Raymond Dierickx - NPI 1629032255
Steven Raymond Dierickx is a General Practice in Forest Grove, Oregon. Steven Raymond Dierickx practices all healthcare services and medical treatments related to General Practice. The NPI Number for Steven Raymond Dierickx is 1629032255. The last update date is 2007-07-08.
Steven Raymond Dierickx's current location address is 2031 Hawthorne St, Forest Grove, Oregon. You can contact this provider via phone number 5033572171 and fax number 5033572172. The mailing address for Steven Raymond Dierickx is 2031 Hawthorne St, Forest Grove, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Raymond Dierickx |
|---|---|
| Address | 2031 Hawthorne St, Forest Grove, Oregon |
| Phone Number | 5033572171 |
| Fax Number | 5033572172 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1629032255 |
|---|---|
| Provider Enumeration Date | 2006-04-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2031 Hawthorne St |
|---|---|
| City | Forest Grove |
| State | Oregon (OR) |
| Post Code | 971161700 |
| Phone Number | 5033572171 |
| Fax Number | 5033572172 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4924 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4924 | OR | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Steven Raymond Dierickx by the Centers for Medicare & Medicaid Services?
The Steven Raymond Dierickx has been assigned the NPI (National Provider Identifier) 1629032255. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Steven Raymond Dierickx is physically located?
The Steven Raymond Dierickx is physically situated at the following address: 2031 Hawthorne St, Forest Grove, OR, 971161700.
What is Steven Raymond Dierickx's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Steven Raymond Dierickx is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
When did the Steven Raymond Dierickx receive its 1629032255?
The Steven Raymond Dierickx was issued its 1629032255 on 2006-04-12, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Steven Raymond Dierickx most recently updated or revised?
The information pertaining to Steven Raymond Dierickx, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.