Daryl Jay Detwiler in Bellevue - General Practice
Daryl Jay Detwiler - NPI 1073623559
Daryl Jay Detwiler is a General Practice in Bellevue, Washington. Daryl Jay Detwiler practices all healthcare services and medical treatments related to General Practice. The NPI Number for Daryl Jay Detwiler is 1073623559. The last update date is 2007-07-08.
Daryl Jay Detwiler's current location address is 6649 Se Cougar Mountain Way, Bellevue, Washington. You can contact this provider via phone number 4257471444. The mailing address for Daryl Jay Detwiler is 6649 Se Cougar Mountain Way, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Daryl Jay Detwiler |
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Address | 6649 Se Cougar Mountain Way, Bellevue, Washington |
Phone Number | 4257471444 |
Fax Number | |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1073623559 |
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Provider Enumeration Date | 2006-08-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 6649 Se Cougar Mountain Way |
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City | Bellevue |
State | Washington (WA) |
Post Code | 980065608 |
Phone Number | 4257471444 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 105684 |
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 identification code assigned to Daryl Jay Detwiler by the Centers for Medicare & Medicaid Services?
The Daryl Jay Detwiler has been issued the NPI (National Provider Identifier) 1073623559. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Daryl Jay Detwiler's facilities are situated?
The facilities of Daryl Jay Detwiler are physically located at the following address: 6649 Se Cougar Mountain Way, Bellevue, WA, 980065608.
What is the area of specialization for Daryl Jay Detwiler, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Daryl Jay Detwiler is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Daryl Jay Detwiler receive the assignment of its 1073623559 from the Centers for Medicare & Medicaid Services?
The Daryl Jay Detwiler was issued its 1073623559 by the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date were the Daryl Jay Detwiler's details last updated?
The information pertaining to the Daryl Jay Detwiler, including its address, specialty, and other details, was most recently updated on 2007-07-08.