Bennett C Packard in Yakima - General Practice

Bennett C Packard - NPI 1861580797

Bennett C Packard is a General Practice in Yakima, Washington. Bennett C Packard practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bennett C Packard is 1861580797. The last update date is 2023-03-07.

Bennett C Packard's current location address is 1501 S 40th Ave, Yakima, Washington. You can contact this provider via phone number 5095778277 and fax number 5095734858. The mailing address for Bennett C Packard is 1501 S 40th Ave, Yakima, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Bennett C Packard
Address 1501 S 40th Ave, Yakima, Washington
Phone Number 5095778277
Fax Number 5095734858
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1861580797
Provider Enumeration Date 2006-10-10
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 1501 S 40th Ave
City Yakima
State Washington (WA)
Post Code 989083963
Phone Number 5095778277
Fax Number 5095734858

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 8467
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
92560941 WA TPIN
898780 WA UNITED CONCORDIA
5032214 WA --
141990582 WA ADA
8923821 WA CRIME VICTIMS
170386 WA LABOR & INDUSTRIES
8467 WA STATE LICENSE

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FAQs about Bennett C Packard

What is the unique provider identifier assigned to Bennett C Packard?

The Bennett C Packard has been issued the NPI (National Provider Identifier) 1861580797 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Bennett C Packard?

The Bennett C Packard is situated at 1501 S 40Th Ave, in the city of Yakima, state of WA, with the zip code 989083963.

What is the Bennett C Packard's specialty and taxonomy code?

The Bennett C Packard's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

When was the Bennett C Packard's 1861580797 issued?

The Bennett C Packard's 1861580797 was issued on 2006-10-10.

When was the information related to Bennett C Packard most recently updated or refreshed?

The details pertaining to the Bennett C Packard, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.

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