Matthew R Bistan in Sheboygan - General Practice
Matthew R Bistan - NPI 1801908116
Matthew R Bistan is a General Practice in Sheboygan, Wisconsin. Matthew R Bistan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Matthew R Bistan is 1801908116. The last update date is 2007-07-08.
Matthew R Bistan's current location address is 1630 N Taylor Dr, Sheboygan, Wisconsin. You can contact this provider via phone number 9204572255 and fax number 9204580469. The mailing address for Matthew R Bistan is 1630 N Taylor Dr, Sheboygan, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew R Bistan |
|---|---|
| Address | 1630 N Taylor Dr, Sheboygan, Wisconsin |
| Phone Number | 9204572255 |
| Fax Number | 9204580469 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1801908116 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1630 N Taylor Dr |
|---|---|
| City | Sheboygan |
| State | Wisconsin (WI) |
| Post Code | 530811929 |
| Phone Number | 9204572255 |
| Fax Number | 9204580469 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4918-015 |
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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. |
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What is the unique identifier code issued to Matthew R Bistan by the Centers for Medicare & Medicaid Services?
The Matthew R Bistan has been assigned the NPI (National Provider Identifier) 1801908116. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Matthew R Bistan is physically located?
The Matthew R Bistan is situated at the following address: 1630 N Taylor Dr, Sheboygan, WI 530811929.
What is the area of specialization for Matthew R Bistan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Matthew R Bistan is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1801908116 to Matthew R Bistan?
The Matthew R Bistan received its 1801908116 assignment from the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date were the Matthew R Bistan's details last updated?
The information pertaining to the Matthew R Bistan, including its address, specialty, and other details, was most recently updated on 2007-07-08.