Stephen Allen Modelevsky in Jonesboro - Oral And Maxillofacial Pathology
Stephen Allen Modelevsky - NPI 1477647089
Stephen Allen Modelevsky is a Oral And Maxillofacial Pathology in Jonesboro, Arkansas. Stephen Allen Modelevsky practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Stephen Allen Modelevsky is 1477647089. The last update date is 2007-07-08.
Stephen Allen Modelevsky's current location address is Po Box 1920, Jonesboro, Arkansas. You can contact this provider via phone number 8709728570 and fax number 8709725451. The mailing address for Stephen Allen Modelevsky is Po Box 1920, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Allen Modelevsky |
|---|---|
| Address | Po Box 1920, Jonesboro, Arkansas |
| Phone Number | 8709728570 |
| Fax Number | 8709725451 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1477647089 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1920 |
|---|---|
| City | Jonesboro |
| State | Arkansas (AR) |
| Post Code | 72403 |
| Phone Number | 8709728570 |
| Fax Number | 8709725451 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Pathology |
|---|---|
| Taxonomy | 1223P0106X |
| Licence No | 2302 |
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Definition: The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these |
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What is the unique identification code assigned to Stephen Allen Modelevsky by the Centers for Medicare & Medicaid Services?
The Stephen Allen Modelevsky has been issued the NPI (National Provider Identifier) 1477647089. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Stephen Allen Modelevsky is physically located?
The Stephen Allen Modelevsky is situated at the following address: Po Box 1920, Jonesboro, AR 72403.
What is Stephen Allen Modelevsky's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stephen Allen Modelevsky is Oral And Maxillofacial Pathology, and the taxonomy classification code that categorizes this area of expertise is 1223P0106X.
On what date did the Stephen Allen Modelevsky receive its 1477647089 assignment from the Centers for Medicare & Medicaid Services?
The Stephen Allen Modelevsky was assigned its 1477647089 by the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date was the information regarding Stephen Allen Modelevsky, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stephen Allen Modelevsky, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.