Mark Gerard Radomile in Drexel Hill - General Practice
Mark Gerard Radomile - NPI 1881720704
Mark Gerard Radomile is a General Practice in Drexel Hill, Pennsylvania. Mark Gerard Radomile practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Gerard Radomile is 1881720704. The last update date is 2007-07-08.
Mark Gerard Radomile's current location address is 4207 State Rd, Drexel Hill, Pennsylvania. You can contact this provider via phone number 6107894066 and fax number 6107898507. The mailing address for Mark Gerard Radomile is 4207 State Rd, Drexel Hill, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Gerard Radomile |
|---|---|
| Address | 4207 State Rd, Drexel Hill, Pennsylvania |
| Phone Number | 6107894066 |
| Fax Number | 6107898507 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1881720704 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4207 State Rd |
|---|---|
| City | Drexel Hill |
| State | Pennsylvania (PA) |
| Post Code | 190263321 |
| Phone Number | 6107894066 |
| Fax Number | 6107898507 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS024123L |
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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 Mark Gerard Radomile by the Centers for Medicare & Medicaid Services?
The Mark Gerard Radomile has been issued the NPI (National Provider Identifier) 1881720704, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mark Gerard Radomile is physically located?
The Mark Gerard Radomile is physically situated at the following address: 4207 State Rd, Drexel Hill, PA, 190263321.
What is the Mark Gerard Radomile's specialty and taxonomy code?
The Mark Gerard Radomile's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Mark Gerard Radomile receive the assignment of its 1881720704 from the Centers for Medicare & Medicaid Services?
The Mark Gerard Radomile was issued its 1881720704 by the Centers for Medicare & Medicaid Services on 2007-02-26.
When was the information regarding Mark Gerard Radomile most recently updated?
The details pertaining to the Mark Gerard Radomile, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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