Edward Randall Mcleary in Bonney Lake - General Practice
Edward Randall Mcleary - NPI 1063496388
Edward Randall Mcleary is a General Practice in Bonney Lake, Washington. Edward Randall Mcleary practices all healthcare services and medical treatments related to General Practice. The NPI Number for Edward Randall Mcleary is 1063496388. The last update date is 2007-07-08.
Edward Randall Mcleary's current location address is 18310 Sr 410 E, Bonney Lake, Washington. You can contact this provider via phone number 2538635188 and fax number 2538634751. The mailing address for Edward Randall Mcleary is 18310 Sr 410 E, Bonney Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Randall Mcleary |
|---|---|
| Address | 18310 Sr 410 E, Bonney Lake, Washington |
| Phone Number | 2538635188 |
| Fax Number | 2538634751 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1063496388 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 18310 Sr 410 E |
|---|---|
| City | Bonney Lake |
| State | Washington (WA) |
| Post Code | 983918532 |
| Phone Number | 2538635188 |
| Fax Number | 2538634751 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5019 |
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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 Edward Randall Mcleary's unique identification number?
The Edward Randall Mcleary has been assigned the NPI (National Provider Identifier) Number 1063496388 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Edward Randall Mcleary's physical address?
The Edward Randall Mcleary is physically located at 18310 Sr 410 E, in the city of Bonney Lake, WA, with the postal code 983918532.
What is the Edward Randall Mcleary's specialty and taxonomy code?
The Edward Randall Mcleary's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Edward Randall Mcleary receive the assignment of its 1063496388 from the Centers for Medicare & Medicaid Services?
The Edward Randall Mcleary was issued its 1063496388 by the Centers for Medicare & Medicaid Services on 2005-11-30.
As of what date were the details related to Edward Randall Mcleary most recently updated or revised?
The information pertaining to Edward Randall Mcleary, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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