Shane Klingonsmith in Bethlehem - General Practice
Shane Klingonsmith - NPI 1205910767
Shane Klingonsmith is a General Practice in Bethlehem, Pennsylvania. Shane Klingonsmith practices all healthcare services and medical treatments related to General Practice. The NPI Number for Shane Klingonsmith is 1205910767. The last update date is 2013-01-28.
Shane Klingonsmith's current location address is 4555 Easton Ave, Bethlehem, Pennsylvania. You can contact this provider via phone number 6108660552. The mailing address for Shane Klingonsmith is 4555 Easton Ave, Bethlehem, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane Klingonsmith |
|---|---|
| Address | 4555 Easton Ave, Bethlehem, Pennsylvania |
| Phone Number | 6108660552 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.M.D |
NPI Number Detail
| NPI Number | 1205910767 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2013-01-28 |
Provider Mailing Address Detail
| Address | 4555 Easton Ave |
|---|---|
| City | Bethlehem |
| State | Pennsylvania (PA) |
| Post Code | 180209343 |
| Phone Number | 6108660552 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS036069 |
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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 identifier code issued to Shane Klingonsmith by the Centers for Medicare & Medicaid Services?
The Shane Klingonsmith has been assigned the NPI (National Provider Identifier) 1205910767. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Shane Klingonsmith's physical address?
The Shane Klingonsmith is physically located at 4555 Easton Ave, in the city of Bethlehem, PA, with the postal code 180209343.
What is Shane Klingonsmith's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shane Klingonsmith's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date was the 1205910767 assigned to Shane Klingonsmith?
The Shane Klingonsmith was issued its 1205910767 on 2006-10-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Shane Klingonsmith's information last updated?
The Shane Klingonsmith's information was last updated on 2013-01-28.