Richard Joseph Ellenbecker in Sioux Falls - General Practice

Richard Joseph Ellenbecker - NPI 1700974953

Richard Joseph Ellenbecker is a General Practice in Sioux Falls, South Dakota. Richard Joseph Ellenbecker practices all healthcare services and medical treatments related to General Practice. The NPI Number for Richard Joseph Ellenbecker is 1700974953. The last update date is 2007-07-08.

Richard Joseph Ellenbecker's current location address is 5201 S Western Ave, Sioux Falls, South Dakota. You can contact this provider via phone number 6053392200 and fax number 6053345530. The mailing address for Richard Joseph Ellenbecker is 5201 S Western Ave, Sioux Falls, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Joseph Ellenbecker
Address 5201 S Western Ave, Sioux Falls, South Dakota
Phone Number 6053392200
Fax Number 6053345530
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1700974953
Provider Enumeration Date 2006-10-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5201 S Western Ave
City Sioux Falls
State South Dakota (SD)
Post Code 571085004
Phone Number 6053392200
Fax Number 6053345530

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No M313
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
937011 IA --
7803400 SD --
926228 MN --

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FAQs about Richard Joseph Ellenbecker

What is the unique 10-digit identification code assigned to Richard Joseph Ellenbecker by the Centers for Medicare & Medicaid Services?

The Richard Joseph Ellenbecker has been issued the NPI (National Provider Identifier) 1700974953, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Richard Joseph Ellenbecker's facilities are situated?

The facilities of Richard Joseph Ellenbecker are physically located at the following address: 5201 S Western Ave, Sioux Falls, SD, 571085004.

What is the Richard Joseph Ellenbecker's area of specialization and corresponding taxonomy classification?

The Richard Joseph Ellenbecker's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1700974953 to Richard Joseph Ellenbecker?

The Centers for Medicare & Medicaid Services assigned the 1700974953 to Richard Joseph Ellenbecker on 2006-10-11.

As of what date was the information pertaining to Richard Joseph Ellenbecker, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Richard Joseph Ellenbecker, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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