Jeffrey Chad Fendley in Georgetown - General Practice
Jeffrey Chad Fendley - NPI 1619021268
Jeffrey Chad Fendley is a General Practice in Georgetown, Texas. Jeffrey Chad Fendley practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeffrey Chad Fendley is 1619021268. The last update date is 2015-01-23.
Jeffrey Chad Fendley's current location address is 1103 Rivery Blvd, Georgetown, Texas. You can contact this provider via phone number 5128680238 and fax number 5128689494. The mailing address for Jeffrey Chad Fendley is 1103 Rivery Blvd, Georgetown, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Chad Fendley |
|---|---|
| Address | 1103 Rivery Blvd, Georgetown, Texas |
| Phone Number | 5128680238 |
| Fax Number | 5128689494 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1619021268 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2015-01-23 |
Provider Mailing Address Detail
| Address | 1103 Rivery Blvd |
|---|---|
| City | Georgetown |
| State | Texas (TX) |
| Post Code | 78628 |
| Phone Number | 5128680238 |
| Fax Number | 5128689494 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 20609 |
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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 Jeffrey Chad Fendley's 1619021268?
The Jeffrey Chad Fendley's NPI (National Provider Identifier) Number is 1619021268. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jeffrey Chad Fendley is physically located?
The Jeffrey Chad Fendley is situated at the following address: 1103 Rivery Blvd, Georgetown, TX 78628.
What is Jeffrey Chad Fendley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey Chad Fendley's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619021268 to Jeffrey Chad Fendley?
The Centers for Medicare & Medicaid Services originally issued the 1619021268 to Jeffrey Chad Fendley on 2007-01-22.
When was the Jeffrey Chad Fendley's information last updated?
The Jeffrey Chad Fendley's information was last updated on 2015-01-23.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA