Kimberly Leeds Heeter in Medford - General Practice
Kimberly Leeds Heeter - NPI 1811965593
Kimberly Leeds Heeter is a General Practice in Medford, Oregon. Kimberly Leeds Heeter practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kimberly Leeds Heeter is 1811965593. The last update date is 2020-02-25.
Kimberly Leeds Heeter's current location address is 931 Chevy Way, Medford, Oregon. You can contact this provider via phone number 5415356239 and fax number 5415121029. The mailing address for Kimberly Leeds Heeter is 931 Chevy Way, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Leeds Heeter |
|---|---|
| Address | 931 Chevy Way, Medford, Oregon |
| Phone Number | 5415356239 |
| Fax Number | 5415121029 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1811965593 |
|---|---|
| Provider Enumeration Date | 2006-03-09 |
| Last Updated Date | 2020-02-25 |
Provider Mailing Address Detail
| Address | 931 Chevy Way |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 975044127 |
| Phone Number | 5415356239 |
| Fax Number | 5415121029 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 21299 |
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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 |
|---|---|---|---|
| 1742900-01 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kimberly Leeds Heeter by the Centers for Medicare & Medicaid Services (CMS)?
The Kimberly Leeds Heeter has been assigned the NPI (National Provider Identifier) 1811965593. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Kimberly Leeds Heeter's physical address?
The Kimberly Leeds Heeter is physically located at 931 Chevy Way, in the city of Medford, OR, with the postal code 975044127.
What is Kimberly Leeds Heeter'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 Kimberly Leeds Heeter is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811965593 to Kimberly Leeds Heeter?
The Centers for Medicare & Medicaid Services originally issued the 1811965593 to Kimberly Leeds Heeter on 2006-03-09.
As of what date were the details pertaining to Kimberly Leeds Heeter last refreshed?
The information related to the Kimberly Leeds Heeter, including its address, specialty, and other relevant details, was last updated on 2020-02-25.
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