Deron Todd Kovac in Glen Mills - General Practice
Deron Todd Kovac - NPI 1720141104
Deron Todd Kovac is a General Practice in Glen Mills, Pennsylvania. Deron Todd Kovac practices all healthcare services and medical treatments related to General Practice. The NPI Number for Deron Todd Kovac is 1720141104. The last update date is 2007-07-08.
Deron Todd Kovac's current location address is 1102 Baltimore Pike, Glen Mills, Pennsylvania. You can contact this provider via phone number 6103585151 and fax number 6103582510. The mailing address for Deron Todd Kovac is 1102 Baltimore Pike, Glen Mills, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deron Todd Kovac |
|---|---|
| Address | 1102 Baltimore Pike, Glen Mills, Pennsylvania |
| Phone Number | 6103585151 |
| Fax Number | 6103582510 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1720141104 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1102 Baltimore Pike |
|---|---|
| City | Glen Mills |
| State | Pennsylvania (PA) |
| Post Code | 193421058 |
| Phone Number | 6103585151 |
| Fax Number | 6103582510 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS027813L |
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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 identification code assigned to Deron Todd Kovac by the Centers for Medicare & Medicaid Services?
The Deron Todd Kovac has been issued the NPI (National Provider Identifier) 1720141104. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Deron Todd Kovac is located?
The Deron Todd Kovac is situated at the following address: 1102 Baltimore Pike, Glen Mills, PA, 193421058.
What is the area of specialization for Deron Todd Kovac, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Deron Todd Kovac is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
When did Deron Todd Kovac receive its 1720141104 assignment?
The Deron Todd Kovac was assigned its 1720141104 on 2006-12-18, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Deron Todd Kovac, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Deron Todd Kovac, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.