Cory Bryan Jaetzold in Arlington - General Practice

Cory Bryan Jaetzold - NPI 1083718415

Cory Bryan Jaetzold is a General Practice in Arlington, Texas. Cory Bryan Jaetzold practices all healthcare services and medical treatments related to General Practice. The NPI Number for Cory Bryan Jaetzold is 1083718415. The last update date is 2007-07-08.

Cory Bryan Jaetzold's current location address is 2131 N Collins, Arlington, Texas. You can contact this provider via phone number 8172777800 and fax number 8172740300. The mailing address for Cory Bryan Jaetzold is 2131 N Collins, Arlington, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Cory Bryan Jaetzold
Address 2131 N Collins, Arlington, Texas
Phone Number 8172777800
Fax Number 8172740300
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1083718415
Provider Enumeration Date 2006-09-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2131 N Collins
City Arlington
State Texas (TX)
Post Code 76011
Phone Number 8172777800
Fax Number 8172740300

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 22735
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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FAQs about Cory Bryan Jaetzold

What is the Cory Bryan Jaetzold's unique identification number?

The Cory Bryan Jaetzold has been assigned the NPI (National Provider Identifier) Number 1083718415 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Cory Bryan Jaetzold is physically located?

The Cory Bryan Jaetzold is situated at the following address: 2131 N Collins, Arlington, TX 76011.

What is Cory Bryan Jaetzold's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Cory Bryan Jaetzold is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1083718415 to Cory Bryan Jaetzold?

The Centers for Medicare & Medicaid Services assigned the 1083718415 to Cory Bryan Jaetzold on 2006-09-07.

When was the information related to Cory Bryan Jaetzold most recently updated or refreshed?

The details pertaining to the Cory Bryan Jaetzold, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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