John Joseph Hederman in Port Arthur - General Practice
John Joseph Hederman - NPI 1588662712
John Joseph Hederman is a General Practice in Port Arthur, Texas. John Joseph Hederman practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Joseph Hederman is 1588662712. The last update date is 2011-08-03.
John Joseph Hederman's current location address is 2548 Memorial Blvd, Port Arthur, Texas. You can contact this provider via phone number 4099831161 and fax number 4099834933. The mailing address for John Joseph Hederman is 2548 Memorial Blvd, Port Arthur, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Joseph Hederman |
|---|---|
| Address | 2548 Memorial Blvd, Port Arthur, Texas |
| Phone Number | 4099831161 |
| Fax Number | 4099834933 |
| Sole Proprietor | N |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1588662712 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2011-08-03 |
Provider Mailing Address Detail
| Address | 2548 Memorial Blvd |
|---|---|
| City | Port Arthur |
| State | Texas (TX) |
| Post Code | 776402825 |
| Phone Number | 4099831161 |
| Fax Number | 4099834933 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 14309 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 126826002 | TX | -- |
Post Comment/ Review Below
What is the John Joseph Hederman's 1588662712?
The John Joseph Hederman's NPI (National Provider Identifier) Number is 1588662712. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of John Joseph Hederman?
The John Joseph Hederman is physically situated at 2548 Memorial Blvd, in the city of Port Arthur, state of TX, with the postal code 776402825.
What is the John Joseph Hederman's area of specialization and corresponding taxonomy classification?
The John Joseph Hederman's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1588662712 to John Joseph Hederman?
The John Joseph Hederman received its 1588662712 assignment from the Centers for Medicare & Medicaid Services on 2005-07-12.
As of what date were the John Joseph Hederman's details last updated?
The information pertaining to the John Joseph Hederman, including its address, specialty, and other details, was most recently updated on 2011-08-03.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN