Douglas W Rietz in Walla Walla - General Practice

Douglas W Rietz - NPI 1265501233

Douglas W Rietz is a General Practice in Walla Walla, Washington. Douglas W Rietz practices all healthcare services and medical treatments related to General Practice. The NPI Number for Douglas W Rietz is 1265501233. The last update date is 2007-07-08.

Douglas W Rietz's current location address is 208 S Park St, Walla Walla, Washington. You can contact this provider via phone number 5095220499 and fax number 5095220593. The mailing address for Douglas W Rietz is 208 S Park St, Walla Walla, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas W Rietz
Address 208 S Park St, Walla Walla, Washington
Phone Number 5095220499
Fax Number 5095220593
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1265501233
Provider Enumeration Date 2006-11-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 208 S Park St
City Walla Walla
State Washington (WA)
Post Code 993623247
Phone Number 5095220499
Fax Number 5095220593

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DE00006530
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
56530 WA WASHINGTON DENTAL SVC
762606 WA UNITED CONCORDIA
5017033 WA --

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FAQs about Douglas W Rietz

What is the unique 10-digit identifier code issued to Douglas W Rietz by the Centers for Medicare & Medicaid Services?

The Douglas W Rietz has been assigned the NPI (National Provider Identifier) 1265501233 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Douglas W Rietz's facilities are situated?

The facilities of Douglas W Rietz are physically located at the following address: 208 S Park St, Walla Walla, WA, 993623247.

What is the Douglas W Rietz's specialty and taxonomy code?

The Douglas W Rietz's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Douglas W Rietz receive the assignment of its 1265501233 from the Centers for Medicare & Medicaid Services?

The Douglas W Rietz was issued its 1265501233 by the Centers for Medicare & Medicaid Services on 2006-11-06.

When was the information regarding Douglas W Rietz, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Douglas W Rietz, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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