David D Kellogg in Walla Walla - General Practice

David D Kellogg - NPI 1164639282

David D Kellogg is a General Practice in Walla Walla, Washington. David D Kellogg practices all healthcare services and medical treatments related to General Practice. The NPI Number for David D Kellogg is 1164639282. The last update date is 2007-07-08.

David D Kellogg's current location address is 1602 Penny Ln, Walla Walla, Washington. You can contact this provider via phone number 5095220940 and fax number 5095259063. The mailing address for David D Kellogg is 1602 Penny Ln, Walla Walla, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name David D Kellogg
Address 1602 Penny Ln, Walla Walla, Washington
Phone Number 5095220940
Fax Number 5095259063
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1164639282
Provider Enumeration Date 2007-05-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1602 Penny Ln
City Walla Walla
State Washington (WA)
Post Code 993624477
Phone Number 5095220940
Fax Number 5095259063

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DE00006215
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
5023346 WA --

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FAQs about David D Kellogg

What is the unique identifier code issued to David D Kellogg by the Centers for Medicare & Medicaid Services?

The David D Kellogg has been assigned the NPI (National Provider Identifier) 1164639282. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of David D Kellogg?

The David D Kellogg is physically situated at 1602 Penny Ln, in the city of Walla Walla, state of WA, with the postal code 993624477.

What is David D Kellogg's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for David D Kellogg is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date was the 1164639282 assigned to David D Kellogg?

The David D Kellogg was issued its 1164639282 on 2007-05-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the David D Kellogg's information last updated?

The David D Kellogg's information was last updated on 2007-07-08.

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