Kraig Stephen Vandewalle in Jbsa Lackland - General Practice
Kraig Stephen Vandewalle - NPI 1396710182
Kraig Stephen Vandewalle is a General Practice in Jbsa Lackland, Texas. Kraig Stephen Vandewalle practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kraig Stephen Vandewalle is 1396710182. The last update date is 2021-01-27.
Kraig Stephen Vandewalle's current location address is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. You can contact this provider via phone number 2102920760. The mailing address for Kraig Stephen Vandewalle is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kraig Stephen Vandewalle |
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Address | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas |
Phone Number | 2102920760 |
Fax Number | |
Sole Proprietor | N |
Credentials | DDS, MS |
NPI Number Detail
NPI Number | 1396710182 |
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Provider Enumeration Date | 2006-02-23 |
Last Updated Date | 2021-01-27 |
Provider Mailing Address Detail
Address | 1100 Wilford Hall Loop Bldg 4554 |
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City | Jbsa Lackland |
State | Texas (TX) |
Post Code | 782365638 |
Phone Number | 2102920760 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 14137 |
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 unique identifier code issued to Kraig Stephen Vandewalle by the Centers for Medicare & Medicaid Services?
The Kraig Stephen Vandewalle has been assigned the NPI (National Provider Identifier) 1396710182. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kraig Stephen Vandewalle?
The Kraig Stephen Vandewalle is physically situated at 1100 Wilford Hall Loop Bldg 4554, in the city of Jbsa Lackland, state of TX, with the postal code 782365638.
What is Kraig Stephen Vandewalle's area of expertise and its corresponding taxonomy classification?
The Kraig Stephen Vandewalle's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
When did Kraig Stephen Vandewalle receive its 1396710182 assignment?
The Kraig Stephen Vandewalle was assigned its 1396710182 on 2006-02-23, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Kraig Stephen Vandewalle last refreshed?
The information related to the Kraig Stephen Vandewalle, including its address, specialty, and other relevant details, was last updated on 2021-01-27.
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