Amy Jo Modrall in Mansfield - General Practice
Amy Jo Modrall - NPI 1740250539
Amy Jo Modrall is a General Practice in Mansfield, Texas. Amy Jo Modrall practices all healthcare services and medical treatments related to General Practice. The NPI Number for Amy Jo Modrall is 1740250539. The last update date is 2007-07-08.
Amy Jo Modrall's current location address is 2310 Fm Road 157, Mansfield, Texas. You can contact this provider via phone number 8174772558 and fax number 8174739900. The mailing address for Amy Jo Modrall is 2310 Fm Road 157, Mansfield, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Jo Modrall |
|---|---|
| Address | 2310 Fm Road 157, Mansfield, Texas |
| Phone Number | 8174772558 |
| Fax Number | 8174739900 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1740250539 |
|---|---|
| Provider Enumeration Date | 2006-01-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2310 Fm Road 157 |
|---|---|
| City | Mansfield |
| State | Texas (TX) |
| Post Code | 76063 |
| Phone Number | 8174772558 |
| Fax Number | 8174739900 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 21998 |
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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 unique provider identifier assigned to Amy Jo Modrall?
The Amy Jo Modrall has been issued the NPI (National Provider Identifier) 1740250539 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Amy Jo Modrall is located?
The Amy Jo Modrall is situated at the following address: 2310 Fm Road 157, Mansfield, TX, 76063.
What is the Amy Jo Modrall's specialty and taxonomy code?
The Amy Jo Modrall's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date was the 1740250539 assigned to Amy Jo Modrall?
The Amy Jo Modrall was issued its 1740250539 on 2006-01-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Amy Jo Modrall most recently updated or revised?
The information pertaining to Amy Jo Modrall, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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