Fairfield Dental Clinic, Llc in Fairfield - General Practice

Fairfield Dental Clinic, Llc - NPI 1598975849

Fairfield Dental Clinic, Llc is a General Practice in Fairfield, Washington. Fairfield Dental Clinic, Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Fairfield Dental Clinic, Llc is 1598975849. The last update date is 2008-06-23.

Fairfield Dental Clinic, Llc's current location address is Po Box 305, Fairfield, Washington. You can contact this provider via phone number 5092832261 and fax number 5092832261. The mailing address for Fairfield Dental Clinic, Llc is Po Box 305, Fairfield, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Fairfield Dental Clinic, Llc
Address Po Box 305, Fairfield, Washington
Phone Number 5092832261
Fax Number 5092832261
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Petersen Marc William
Credentials D.D.S.
Telephone Number 5092832261

NPI Number Detail

NPI Number 1598975849
Provider Enumeration Date 2007-05-23
Last Updated Date 2008-06-23

Provider Mailing Address Detail

Address Po Box 305
City Fairfield
State Washington (WA)
Post Code 990120305
Phone Number 5092832261
Fax Number 5092832261

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
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 Fairfield Dental Clinic, Llc

What is the unique provider identifier assigned to Fairfield Dental Clinic, Llc?

The Fairfield Dental Clinic, Llc has been issued the NPI (National Provider Identifier) 1598975849 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 Fairfield Dental Clinic, Llc is physically located?

The Fairfield Dental Clinic, Llc is situated at the following address: Po Box 305, Fairfield, WA 990120305.

What is Fairfield Dental Clinic, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Fairfield Dental Clinic, Llc is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date was the 1598975849 assigned to Fairfield Dental Clinic, Llc?

The Fairfield Dental Clinic, Llc was issued its 1598975849 on 2007-05-23, 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 Fairfield Dental Clinic, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Fairfield Dental Clinic, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-23.

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