Mark Jared Thornley in Logan - General Practice
Mark Jared Thornley - NPI 1912926882
Mark Jared Thornley is a General Practice in Logan, Utah. Mark Jared Thornley practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Jared Thornley is 1912926882. The last update date is 2007-07-08.
Mark Jared Thornley's current location address is 104 E 200 N, Logan, Utah. You can contact this provider via phone number 4357529662 and fax number 4357529664. The mailing address for Mark Jared Thornley is 104 E 200 N, Logan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Jared Thornley |
|---|---|
| Address | 104 E 200 N, Logan, Utah |
| Phone Number | 4357529662 |
| Fax Number | 4357529664 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1912926882 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 104 E 200 N |
|---|---|
| City | Logan |
| State | Utah (UT) |
| Post Code | 843214007 |
| Phone Number | 4357529662 |
| Fax Number | 4357529664 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5946318-9922 |
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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 identifier code issued to Mark Jared Thornley by the Centers for Medicare & Medicaid Services?
The Mark Jared Thornley has been assigned the NPI (National Provider Identifier) 1912926882. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark Jared Thornley's facilities are geographically located?
The facilities of Mark Jared Thornley are physically situated at the following location: 104 E 200 N, Logan, UT, 843214007.
What is the Mark Jared Thornley's specialty and taxonomy code?
The Mark Jared Thornley's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date was the 1912926882 assigned to Mark Jared Thornley?
The Mark Jared Thornley was issued its 1912926882 on 2006-07-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mark Jared Thornley, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark Jared Thornley, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.