Nathan Earl Kirk in Hurricane - Pediatric Dentistry
Nathan Earl Kirk - NPI 1689711699
Nathan Earl Kirk is a Pediatric Dentistry in Hurricane, . Nathan Earl Kirk practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Nathan Earl Kirk is 1689711699. The last update date is 2007-07-08.
Nathan Earl Kirk's current location address is Po Box 581, Hurricane, . You can contact this provider via phone number 3042018500 and fax number 3042018505. The mailing address for Nathan Earl Kirk is Po Box 581, Hurricane, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nathan Earl Kirk |
|---|---|
| Address | Po Box 581, Hurricane, |
| Phone Number | 3042018500 |
| Fax Number | 3042018505 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1689711699 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 581 |
|---|---|
| City | Hurricane |
| State | (WV) |
| Post Code | 255260581 |
| Phone Number | 3042018500 |
| Fax Number | 3042018505 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | WV3568 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4002185000 | WV | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Nathan Earl Kirk by the Centers for Medicare & Medicaid Services?
The Nathan Earl Kirk has been assigned the NPI (National Provider Identifier) 1689711699 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Nathan Earl Kirk's facilities are situated?
The facilities of Nathan Earl Kirk are physically located at the following address: Po Box 581, Hurricane, WV, 255260581.
What is Nathan Earl Kirk's specialized field of practice, and what is the corresponding taxonomy classification code?
The Nathan Earl Kirk's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Nathan Earl Kirk receive the assignment of its 1689711699 from the Centers for Medicare & Medicaid Services?
The Nathan Earl Kirk was issued its 1689711699 by the Centers for Medicare & Medicaid Services on 2007-01-31.
As of what date were the details pertaining to Nathan Earl Kirk last refreshed?
The information related to the Nathan Earl Kirk, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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