Jerry Charles Greenfield in Federal Way - General Practice

Jerry Charles Greenfield - NPI 1619049293

Jerry Charles Greenfield is a General Practice in Federal Way, Washington. Jerry Charles Greenfield practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jerry Charles Greenfield is 1619049293. The last update date is 2007-07-08.

Jerry Charles Greenfield's current location address is 32105 1st Ave S, Federal Way, Washington. You can contact this provider via phone number 2538382055 and fax number 2538742992. The mailing address for Jerry Charles Greenfield is 32105 1st Ave S, Federal Way, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry Charles Greenfield
Address 32105 1st Ave S, Federal Way, Washington
Phone Number 2538382055
Fax Number 2538742992
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1619049293
Provider Enumeration Date 2006-11-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 32105 1st Ave S
City Federal Way
State Washington (WA)
Post Code 980035719
Phone Number 2538382055
Fax Number 2538742992

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DE00004214
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
5744305 WA --

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FAQs about Jerry Charles Greenfield

What is the unique 10-digit identification code issued to Jerry Charles Greenfield by the Centers for Medicare & Medicaid Services?

The Jerry Charles Greenfield has been assigned the NPI (National Provider Identifier) 1619049293 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Jerry Charles Greenfield's facilities are geographically located?

The facilities of Jerry Charles Greenfield are physically situated at the following location: 32105 1St Ave S, Federal Way, WA, 980035719.

What is Jerry Charles Greenfield's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jerry Charles Greenfield is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

When was the Jerry Charles Greenfield's 1619049293 issued?

The Jerry Charles Greenfield's 1619049293 was issued on 2006-11-15.

As of what date was the information pertaining to Jerry Charles Greenfield, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jerry Charles Greenfield, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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