Russell C Peck in Memphis - Oral And Maxillofacial Pathology

Russell C Peck - NPI 1649249533

Russell C Peck is a Oral And Maxillofacial Pathology in Memphis, Tennessee. Russell C Peck practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Russell C Peck is 1649249533. The last update date is 2007-07-08.

Russell C Peck's current location address is 766 S White Station Rd, Memphis, Tennessee. You can contact this provider via phone number 9016858090 and fax number 9016841662. The mailing address for Russell C Peck is 766 S White Station Rd, Memphis, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Russell C Peck
Address 766 S White Station Rd, Memphis, Tennessee
Phone Number 9016858090
Fax Number 9016841662
Sole Proprietor X
Credentials D.D.S.

NPI Number Detail

NPI Number 1649249533
Provider Enumeration Date 2006-03-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 766 S White Station Rd
City Memphis
State Tennessee (TN)
Post Code 381174579
Phone Number 9016858090
Fax Number 9016841662

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
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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FAQs about Russell C Peck

What is the Russell C Peck's unique identification number?

The Russell C Peck has been assigned the NPI (National Provider Identifier) Number 1649249533 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Russell C Peck is geographically located?

The Russell C Peck is physically situated at the following location: 766 S White Station Rd, Memphis, TN, 381174579.

What is the Russell C Peck's area of specialization and corresponding taxonomy classification?

The Russell C Peck's specialty field is Oral And Maxillofacial Pathology, and it falls under the taxonomy code 1223P0106X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1649249533 to Russell C Peck?

The Centers for Medicare & Medicaid Services assigned the 1649249533 to Russell C Peck on 2006-03-14.

As of what date were the details related to Russell C Peck most recently updated or revised?

The information pertaining to Russell C Peck, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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