David Efaw in Bloomington - Oral And Maxillofacial Pathology
David Efaw - NPI 1700862877
David Efaw is a Oral And Maxillofacial Pathology in Bloomington, Illinois. David Efaw practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for David Efaw is 1700862877. The last update date is 2023-03-07.
David Efaw's current location address is 109 N Regency Dr, Bloomington, Illinois. You can contact this provider via phone number 3096632526 and fax number 3096634788. The mailing address for David Efaw is 109 N Regency Dr, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Efaw |
|---|---|
| Address | 109 N Regency Dr, Bloomington, Illinois |
| Phone Number | 3096632526 |
| Fax Number | 3096634788 |
| Sole Proprietor | N |
| Credentials | MD, DDS |
NPI Number Detail
| NPI Number | 1700862877 |
|---|---|
| Provider Enumeration Date | 2005-12-20 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 109 N Regency Dr |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617013515 |
| Phone Number | 3096632526 |
| Fax Number | 3096634788 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Pathology |
|---|---|
| Taxonomy | 1223P0106X |
| Licence No | 19023548 |
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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 David Efaw by the Centers for Medicare & Medicaid Services?
The David Efaw has been issued the NPI (National Provider Identifier) 1700862877. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the David Efaw located?
The David Efaw is located at 109 N Regency Dr, Bloomington, IL 617013515.
What is David Efaw's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David Efaw's specialized field of practice is Oral And Maxillofacial Pathology, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0106X.
On what date did the David Efaw receive its 1700862877 assignment from the Centers for Medicare & Medicaid Services?
The David Efaw was assigned its 1700862877 by the Centers for Medicare & Medicaid Services on 2005-12-20.
As of what date were the details related to David Efaw most recently updated or revised?
The information pertaining to David Efaw, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.
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