Gregory Mark Atack in Portland - General Practice
Gregory Mark Atack - NPI 1508839507
Gregory Mark Atack is a General Practice in Portland, Oregon. Gregory Mark Atack practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gregory Mark Atack is 1508839507. The last update date is 2007-07-08.
Gregory Mark Atack's current location address is 14871 Nw Dominion Dr, Portland, Oregon. You can contact this provider via phone number 5036174558. The mailing address for Gregory Mark Atack is 14871 Nw Dominion Dr, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Mark Atack |
|---|---|
| Address | 14871 Nw Dominion Dr, Portland, Oregon |
| Phone Number | 5036174558 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | DMD, FAGD |
NPI Number Detail
| NPI Number | 1508839507 |
|---|---|
| Provider Enumeration Date | 2006-02-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 14871 Nw Dominion Dr |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972292298 |
| Phone Number | 5036174558 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D7210 |
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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 Gregory Mark Atack by the Centers for Medicare & Medicaid Services?
The Gregory Mark Atack has been issued the NPI (National Provider Identifier) 1508839507, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Gregory Mark Atack is geographically located?
The Gregory Mark Atack is physically situated at the following location: 14871 Nw Dominion Dr, Portland, OR, 972292298.
What is Gregory Mark Atack's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gregory Mark Atack's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When did Gregory Mark Atack receive its 1508839507 assignment?
The Gregory Mark Atack was assigned its 1508839507 on 2006-02-09, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Gregory Mark Atack, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gregory Mark Atack, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.