Stephen C Booth in Midlothian - General Practice

Stephen C Booth - NPI 1457445314

Stephen C Booth is a General Practice in Midlothian, Virginia. Stephen C Booth practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stephen C Booth is 1457445314. The last update date is 2014-06-29.

Stephen C Booth's current location address is 5954 Harbour Park Dr, Midlothian, Virginia. You can contact this provider via phone number 8047391600 and fax number 8047399035. The mailing address for Stephen C Booth is 5954 Harbour Park Dr, Midlothian, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen C Booth
Address 5954 Harbour Park Dr, Midlothian, Virginia
Phone Number 8047391600
Fax Number 8047399035
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1457445314
Provider Enumeration Date 2006-10-03
Last Updated Date 2014-06-29

Provider Mailing Address Detail

Address 5954 Harbour Park Dr
City Midlothian
State Virginia (VA)
Post Code 231122163
Phone Number 8047391600
Fax Number 8047399035

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 401411024
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
11024 VA DELTA DENTAL PROVIDER NO.
182419 VA ANTHEM PROVIDER NO.
9179964 VA --

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FAQs about Stephen C Booth

What is the unique provider identifier assigned to Stephen C Booth?

The Stephen C Booth has been issued the NPI (National Provider Identifier) 1457445314 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Stephen C Booth?

The Stephen C Booth is physically situated at 5954 Harbour Park Dr, in the city of Midlothian, state of VA, with the postal code 231122163.

What is the area of specialization for Stephen C Booth, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Stephen C Booth is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1457445314 to Stephen C Booth?

The Stephen C Booth received its 1457445314 assignment from the Centers for Medicare & Medicaid Services on 2006-10-03.

When was the information related to Stephen C Booth most recently updated or refreshed?

The details pertaining to the Stephen C Booth, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-06-29.

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