William C Herzog in Portland - General Practice
William C Herzog - NPI 1336101245
William C Herzog is a General Practice in Portland, Oregon. William C Herzog practices all healthcare services and medical treatments related to General Practice. The NPI Number for William C Herzog is 1336101245. The last update date is 2007-07-08.
William C Herzog's current location address is 10340 Se Division, Portland, Oregon. You can contact this provider via phone number 5032542068 and fax number 5032525820. The mailing address for William C Herzog is 10340 Se Division, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William C Herzog |
|---|---|
| Address | 10340 Se Division, Portland, Oregon |
| Phone Number | 5032542068 |
| Fax Number | 5032525820 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1336101245 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10340 Se Division |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 97266 |
| Phone Number | 5032542068 |
| Fax Number | 5032525820 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4833 |
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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 identifier code assigned to William C Herzog by the Centers for Medicare & Medicaid Services?
The William C Herzog has been issued the NPI (National Provider Identifier) 1336101245 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the William C Herzog's physical address?
The William C Herzog is physically located at 10340 Se Division, in the city of Portland, OR, with the postal code 97266.
What is William C Herzog's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for William C Herzog is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1336101245 to William C Herzog?
The Centers for Medicare & Medicaid Services assigned the 1336101245 to William C Herzog on 2006-04-05.
When was the information pertaining to William C Herzog most recently updated or revised?
The details related to William C Herzog, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.