Robert Melvin Pederson in Mondovi - General Practice
Robert Melvin Pederson - NPI 1063529808
Robert Melvin Pederson is a General Practice in Mondovi, Wisconsin. Robert Melvin Pederson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Robert Melvin Pederson is 1063529808. The last update date is 2007-07-09.
Robert Melvin Pederson's current location address is 853 W Main St, Mondovi, Wisconsin. You can contact this provider via phone number 7159266035. The mailing address for Robert Melvin Pederson is 853 W Main St, Mondovi, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Melvin Pederson |
|---|---|
| Address | 853 W Main St, Mondovi, Wisconsin |
| Phone Number | 7159266035 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1063529808 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 853 W Main St |
|---|---|
| City | Mondovi |
| State | Wisconsin (WI) |
| Post Code | 547551429 |
| Phone Number | 7159266035 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4062-015 |
|
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 |
|---|---|---|---|
| 33687500 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Robert Melvin Pederson by the Centers for Medicare & Medicaid Services?
The Robert Melvin Pederson has been assigned the NPI (National Provider Identifier) 1063529808. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Robert Melvin Pederson's facilities are geographically located?
The facilities of Robert Melvin Pederson are physically situated at the following location: 853 W Main St, Mondovi, WI, 547551429.
What is Robert Melvin Pederson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Robert Melvin Pederson's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063529808 to Robert Melvin Pederson?
The Robert Melvin Pederson received its 1063529808 assignment from the Centers for Medicare & Medicaid Services on 2006-08-25.
As of what date were the details pertaining to Robert Melvin Pederson last refreshed?
The information related to the Robert Melvin Pederson, including its address, specialty, and other relevant details, was last updated on 2007-07-09.
NPI Number: 1700880325
Address: 10011 Euclid Avenue, Cleveland, OH
NPI Number: 1760486153
Address: 10204 Granger Rd, Garfield Heights, OH
NPI Number: 1427054410
Address: 5700 Williamsburg Landing Dr, Williamsburg, VA
NPI Number: 1437156635
Address: 61 Corporate Cir, New Castle, DE