Justin Dexter Koen in Buda - General Practice
Justin Dexter Koen - NPI 1679651194
Justin Dexter Koen is a General Practice in Buda, Texas. Justin Dexter Koen practices all healthcare services and medical treatments related to General Practice. The NPI Number for Justin Dexter Koen is 1679651194. The last update date is 2021-03-01.
Justin Dexter Koen's current location address is 108 S Main St, Buda, Texas. You can contact this provider via phone number 5122959925 and fax number 5122955855. The mailing address for Justin Dexter Koen is 108 S Main St, Buda, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin Dexter Koen |
|---|---|
| Address | 108 S Main St, Buda, Texas |
| Phone Number | 5122959925 |
| Fax Number | 5122955855 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1679651194 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2021-03-01 |
Provider Mailing Address Detail
| Address | 108 S Main St |
|---|---|
| City | Buda |
| State | Texas (TX) |
| Post Code | 786103375 |
| Phone Number | 5122959925 |
| Fax Number | 5122955855 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 21429 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100708 | MA | DELTA DENTAL | |
| K10973 | MA | BC BS OF MA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Justin Dexter Koen by the Centers for Medicare & Medicaid Services?
The Justin Dexter Koen has been issued the NPI (National Provider Identifier) 1679651194 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Justin Dexter Koen's facilities are geographically located?
The facilities of Justin Dexter Koen are physically situated at the following location: 108 S Main St, Buda, TX, 786103375.
What is the area of specialization for Justin Dexter Koen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Justin Dexter Koen is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Justin Dexter Koen receive its 1679651194 assignment from the Centers for Medicare & Medicaid Services?
The Justin Dexter Koen was assigned its 1679651194 by the Centers for Medicare & Medicaid Services on 2006-11-01.
When was the information pertaining to Justin Dexter Koen most recently updated or revised?
The details related to Justin Dexter Koen, including its address, specialty, and other relevant information, were last updated or revised on 2021-03-01.
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