Donald B Cork in Jefferson - General Practice

Donald B Cork - NPI 1346322716

Donald B Cork is a General Practice in Jefferson, South Dakota. Donald B Cork practices all healthcare services and medical treatments related to General Practice. The NPI Number for Donald B Cork is 1346322716. The last update date is 2007-07-08.

Donald B Cork's current location address is 904 Wynstone Rd, Jefferson, South Dakota. You can contact this provider via phone number 6054221789 and fax number 6054221789. The mailing address for Donald B Cork is 904 Wynstone Rd, Jefferson, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Donald B Cork
Address 904 Wynstone Rd, Jefferson, South Dakota
Phone Number 6054221789
Fax Number 6054221789
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1346322716
Provider Enumeration Date 2006-10-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 904 Wynstone Rd
City Jefferson
State South Dakota (SD)
Post Code 570386868
Phone Number 6054221789
Fax Number 6054221789

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No M847
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
46044478613 NE --
46044478600 SD --
989517 IA --

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FAQs about Donald B Cork

What is the unique identification code assigned to Donald B Cork by the Centers for Medicare & Medicaid Services?

The Donald B Cork has been issued the NPI (National Provider Identifier) 1346322716. 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 address where Donald B Cork is physically located?

The Donald B Cork is situated at the following address: 904 Wynstone Rd, Jefferson, SD 570386868.

What is Donald B Cork's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Donald B Cork's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Donald B Cork receive the assignment of its 1346322716 from the Centers for Medicare & Medicaid Services?

The Donald B Cork was issued its 1346322716 by the Centers for Medicare & Medicaid Services on 2006-10-19.

As of what date were the details pertaining to Donald B Cork last refreshed?

The information related to the Donald B Cork, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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