Fred William Luedtke in Bountiful - General Practice
Fred William Luedtke - NPI 1073600854
Fred William Luedtke is a General Practice in Bountiful, Utah. Fred William Luedtke practices all healthcare services and medical treatments related to General Practice. The NPI Number for Fred William Luedtke is 1073600854. The last update date is 2023-06-13.
Fred William Luedtke's current location address is 1260 S. 500 W., Bountiful, Utah. You can contact this provider via phone number 8012946174. The mailing address for Fred William Luedtke is 1260 S. 500 W., Bountiful, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred William Luedtke |
|---|---|
| Address | 1260 S. 500 W., Bountiful, Utah |
| Phone Number | 8012946174 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1073600854 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2023-06-13 |
Provider Mailing Address Detail
| Address | 1260 S. 500 W. |
|---|---|
| City | Bountiful |
| State | Utah (UT) |
| Post Code | 84010 |
| Phone Number | 8012946174 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 351483-9922 |
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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 identifier code issued to Fred William Luedtke by the Centers for Medicare & Medicaid Services?
The Fred William Luedtke has been assigned the NPI (National Provider Identifier) 1073600854 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Fred William Luedtke is physically located?
The Fred William Luedtke is physically situated at the following address: 1260 S. 500 W., Bountiful, UT, 84010.
What is Fred William Luedtke's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Fred William Luedtke is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
When did the Fred William Luedtke receive its 1073600854?
The Fred William Luedtke was issued its 1073600854 on 2006-10-05, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Fred William Luedtke most recently updated or revised?
The details related to Fred William Luedtke, including its address, specialty, and other relevant information, were last updated or revised on 2023-06-13.
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