Richard T. Provine in Spartanburg - General Practice
Richard T. Provine - NPI 1811074735
Richard T. Provine is a General Practice in Spartanburg, South Carolina. Richard T. Provine practices all healthcare services and medical treatments related to General Practice. The NPI Number for Richard T. Provine is 1811074735. The last update date is 2008-05-07.
Richard T. Provine's current location address is 1111 W O Ezell Blvd, Spartanburg, South Carolina. You can contact this provider via phone number 8645760943 and fax number 8645767989. The mailing address for Richard T. Provine is 1111 W O Ezell Blvd, Spartanburg, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard T. Provine |
|---|---|
| Address | 1111 W O Ezell Blvd, Spartanburg, South Carolina |
| Phone Number | 8645760943 |
| Fax Number | 8645767989 |
| Sole Proprietor | Y |
| Credentials | D.M.D |
NPI Number Detail
| NPI Number | 1811074735 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2008-05-07 |
Provider Mailing Address Detail
| Address | 1111 W O Ezell Blvd |
|---|---|
| City | Spartanburg |
| State | South Carolina (SC) |
| Post Code | 293011655 |
| Phone Number | 8645760943 |
| Fax Number | 8645767989 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 1821 |
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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 issued to Richard T. Provine by the Centers for Medicare & Medicaid Services?
The Richard T. Provine has been assigned the NPI (National Provider Identifier) 1811074735 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Richard T. Provine's facilities are situated?
The facilities of Richard T. Provine are physically located at the following address: 1111 W O Ezell Blvd, Spartanburg, SC, 293011655.
What is Richard T. Provine's specialized field of practice, and what is the corresponding taxonomy classification code?
The Richard T. Provine's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
When did Richard T. Provine receive its 1811074735 assignment?
The Richard T. Provine was assigned its 1811074735 on 2006-11-01, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Richard T. Provine most recently updated or revised?
The information pertaining to Richard T. Provine, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-07.
NPI Number: 1528061793
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