Kyle C Tanaka is a General Practice in Lynnwood, Washington. Kyle C Tanaka practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kyle C Tanaka is 1508946567. The last update date is 2010-06-15.
Kyle C Tanaka's current location address is 19320 40th Ave W, Lynnwood, Washington. You can contact this provider via phone number 4257762126 and fax number 4257762126. The mailing address for Kyle C Tanaka is 19320 40th Ave W, Lynnwood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyle C Tanaka |
|---|---|
| Address | 19320 40th Ave W, Lynnwood, Washington |
| Phone Number | 4257762126 |
| Fax Number | 4257762126 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1508946567 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2010-06-15 |
Provider Mailing Address Detail
| Address | 19320 40th Ave W |
|---|---|
| City | Lynnwood |
| State | Washington (WA) |
| Post Code | 980364602 |
| Phone Number | 4257762126 |
| Fax Number | 4257762126 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DE00010994 |
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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 unique 10-digit identification code assigned to Kyle C Tanaka by the Centers for Medicare & Medicaid Services?
The Kyle C Tanaka has been issued the NPI (National Provider Identifier) 1508946567, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kyle C Tanaka?
The Kyle C Tanaka is physically situated at 19320 40Th Ave W, in the city of Lynnwood, state of WA, with the postal code 980364602.
What is the area of specialization for Kyle C Tanaka, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kyle C Tanaka is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Kyle C Tanaka receive the assignment of its 1508946567 from the Centers for Medicare & Medicaid Services?
The Kyle C Tanaka was issued its 1508946567 by the Centers for Medicare & Medicaid Services on 2006-10-16.
As of what date was the information regarding Kyle C Tanaka, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kyle C Tanaka, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-06-15.