Mark Kenneth Mcdaniels in Renton - General Practice

Mark Kenneth Mcdaniels - NPI 1154493724

Mark Kenneth Mcdaniels is a General Practice in Renton, Washington. Mark Kenneth Mcdaniels practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Kenneth Mcdaniels is 1154493724. The last update date is 2016-07-21.

Mark Kenneth Mcdaniels's current location address is 350 S 38th Ct Ste 225, Renton, Washington. You can contact this provider via phone number 4252711515 and fax number 4252284146. The mailing address for Mark Kenneth Mcdaniels is 350 S 38th Ct Ste 225, Renton, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Kenneth Mcdaniels
Address 350 S 38th Ct Ste 225, Renton, Washington
Phone Number 4252711515
Fax Number 4252284146
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1154493724
Provider Enumeration Date 2006-11-15
Last Updated Date 2016-07-21

Provider Mailing Address Detail

Address 350 S 38th Ct Ste 225
City Renton
State Washington (WA)
Post Code 980555775
Phone Number 4252711515
Fax Number 4252284146

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DE00006052
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
K439D7 WA --
DE00006052 WA WA STATE DEPT OF HEALTH

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FAQs about Mark Kenneth Mcdaniels

What is the unique 10-digit identification code issued to Mark Kenneth Mcdaniels by the Centers for Medicare & Medicaid Services?

The Mark Kenneth Mcdaniels has been assigned the NPI (National Provider Identifier) 1154493724 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Mark Kenneth Mcdaniels's physical address?

The Mark Kenneth Mcdaniels is physically located at 350 S 38Th Ct Ste 225, in the city of Renton, WA, with the postal code 980555775.

What is the area of specialization for Mark Kenneth Mcdaniels, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mark Kenneth Mcdaniels is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1154493724 to Mark Kenneth Mcdaniels?

The Centers for Medicare & Medicaid Services originally issued the 1154493724 to Mark Kenneth Mcdaniels on 2006-11-15.

When was the information related to Mark Kenneth Mcdaniels most recently updated or refreshed?

The details pertaining to the Mark Kenneth Mcdaniels, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-07-21.

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