Jeffrey Walter Squires in Murray - General Practice

Jeffrey Walter Squires - NPI 1679627004

Jeffrey Walter Squires is a General Practice in Murray, Utah. Jeffrey Walter Squires practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeffrey Walter Squires is 1679627004. The last update date is 2007-07-08.

Jeffrey Walter Squires's current location address is 168 E 5900 So, Murray, Utah. You can contact this provider via phone number 8012668161 and fax number 8012817440. The mailing address for Jeffrey Walter Squires is 168 E 5900 So, Murray, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Walter Squires
Address 168 E 5900 So, Murray, Utah
Phone Number 8012668161
Fax Number 8012817440
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1679627004
Provider Enumeration Date 2007-01-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 168 E 5900 So
City Murray
State Utah (UT)
Post Code 84107
Phone Number 8012668161
Fax Number 8012817440

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 1410439922
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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FAQs about Jeffrey Walter Squires

What is the unique provider identifier assigned to Jeffrey Walter Squires?

The Jeffrey Walter Squires has been issued the NPI (National Provider Identifier) 1679627004 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 address where Jeffrey Walter Squires is physically located?

The Jeffrey Walter Squires is situated at the following address: 168 E 5900 So, Murray, UT 84107.

What is the Jeffrey Walter Squires's specialty and taxonomy code?

The Jeffrey Walter Squires's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Jeffrey Walter Squires receive the assignment of its 1679627004 from the Centers for Medicare & Medicaid Services?

The Jeffrey Walter Squires was issued its 1679627004 by the Centers for Medicare & Medicaid Services on 2007-01-23.

As of what date were the details related to Jeffrey Walter Squires most recently updated or revised?

The information pertaining to Jeffrey Walter Squires, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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