Marlin Dwayne Peace in Tyler - General Practice
Marlin Dwayne Peace - NPI 1558417253
Marlin Dwayne Peace is a General Practice in Tyler, Texas. Marlin Dwayne Peace practices all healthcare services and medical treatments related to General Practice. The NPI Number for Marlin Dwayne Peace is 1558417253. The last update date is 2007-07-08.
Marlin Dwayne Peace's current location address is 300 E 5th St, Tyler, Texas. You can contact this provider via phone number 9035921992 and fax number 9035926401. The mailing address for Marlin Dwayne Peace is 300 E 5th St, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marlin Dwayne Peace |
|---|---|
| Address | 300 E 5th St, Tyler, Texas |
| Phone Number | 9035921992 |
| Fax Number | 9035926401 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1558417253 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 300 E 5th St |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757014225 |
| Phone Number | 9035921992 |
| Fax Number | 9035926401 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 14232 |
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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 10-digit identification code assigned to Marlin Dwayne Peace by the Centers for Medicare & Medicaid Services?
The Marlin Dwayne Peace has been issued the NPI (National Provider Identifier) 1558417253, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Marlin Dwayne Peace?
The Marlin Dwayne Peace is situated at 300 E 5Th St, in the city of Tyler, state of TX, with the zip code 757014225.
What is Marlin Dwayne Peace's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Marlin Dwayne Peace is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
When did Marlin Dwayne Peace receive its 1558417253 assignment?
The Marlin Dwayne Peace was assigned its 1558417253 on 2007-01-26, which is the date when this unique identifier was issued to the organization.
When was the information regarding Marlin Dwayne Peace most recently updated?
The details pertaining to the Marlin Dwayne Peace, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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