John Patrick Smith in Delavan - General Practice

John Patrick Smith - NPI 1700974136

John Patrick Smith is a General Practice in Delavan, Wisconsin. John Patrick Smith practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Patrick Smith is 1700974136. The last update date is 2007-10-02.

John Patrick Smith's current location address is 1114 Ann St Ste 1-po # 487, Delavan, Wisconsin. You can contact this provider via phone number 2627288232 and fax number 2627288259. The mailing address for John Patrick Smith is 1114 Ann St Ste 1-po # 487, Delavan, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name John Patrick Smith
Address 1114 Ann St Ste 1-po # 487, Delavan, Wisconsin
Phone Number 2627288232
Fax Number 2627288259
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1700974136
Provider Enumeration Date 2006-10-11
Last Updated Date 2007-10-02

Provider Mailing Address Detail

Address 1114 Ann St Ste 1-po # 487
City Delavan
State Wisconsin (WI)
Post Code 531151938
Phone Number 2627288232
Fax Number 2627288259

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3790
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
33495800 WI --

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FAQs about John Patrick Smith

What is the unique 10-digit identifier code issued to John Patrick Smith by the Centers for Medicare & Medicaid Services?

The John Patrick Smith has been assigned the NPI (National Provider Identifier) 1700974136 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where John Patrick Smith is located?

The John Patrick Smith is situated at the following address: 1114 Ann St Ste 1-Po # 487, Delavan, WI, 531151938.

What is John Patrick Smith's specialized field of practice, and what is the corresponding taxonomy classification code?

The John Patrick Smith's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did John Patrick Smith receive its 1700974136 assignment from the Centers for Medicare & Medicaid Services?

The John Patrick Smith was assigned its 1700974136 on 2006-10-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to John Patrick Smith most recently updated or revised?

The details related to John Patrick Smith, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-02.

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