Frederick J. Gehrke in Wickliffe - Pediatric Dentistry

Frederick J. Gehrke - NPI 1053401810

Frederick J. Gehrke is a Pediatric Dentistry in Wickliffe, Ohio. Frederick J. Gehrke practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Frederick J. Gehrke is 1053401810. The last update date is 2007-07-08.

Frederick J. Gehrke's current location address is 2860 Bishop Rd, Wickliffe, Ohio. You can contact this provider via phone number 4405850011. The mailing address for Frederick J. Gehrke is 2860 Bishop Rd, Wickliffe, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Frederick J. Gehrke
Address 2860 Bishop Rd, Wickliffe, Ohio
Phone Number 4405850011
Fax Number
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1053401810
Provider Enumeration Date 2006-10-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2860 Bishop Rd
City Wickliffe
State Ohio (OH)
Post Code 440922670
Phone Number 4405850011
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 18967
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
940905 OH --

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FAQs about Frederick J. Gehrke

What is the Frederick J. Gehrke's 1053401810?

The Frederick J. Gehrke's NPI (National Provider Identifier) Number is 1053401810. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Frederick J. Gehrke is located?

The Frederick J. Gehrke is situated at the following address: 2860 Bishop Rd, Wickliffe, OH, 440922670.

What is Frederick J. Gehrke's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Frederick J. Gehrke's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.

On what date did the Frederick J. Gehrke receive its 1053401810 assignment from the Centers for Medicare & Medicaid Services?

The Frederick J. Gehrke was assigned its 1053401810 by the Centers for Medicare & Medicaid Services on 2006-10-13.

As of what date was the information regarding Frederick J. Gehrke, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Frederick J. Gehrke, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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