Stacey R Kutsch in Kennewick - Pediatric Dentistry
Stacey R Kutsch - NPI 1285723296
Stacey R Kutsch is a Pediatric Dentistry in Kennewick, Washington. Stacey R Kutsch practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Stacey R Kutsch is 1285723296. The last update date is 2023-03-07.
Stacey R Kutsch's current location address is 7501 W Deschutes Pl, Kennewick, Washington. You can contact this provider via phone number 5097831960 and fax number 5097837576. The mailing address for Stacey R Kutsch is 7501 W Deschutes Pl, Kennewick, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey R Kutsch |
|---|---|
| Address | 7501 W Deschutes Pl, Kennewick, Washington |
| Phone Number | 5097831960 |
| Fax Number | 5097837576 |
| Sole Proprietor | N |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1285723296 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 7501 W Deschutes Pl |
|---|---|
| City | Kennewick |
| State | Washington (WA) |
| Post Code | 993367719 |
| Phone Number | 5097831960 |
| Fax Number | 5097837576 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DE00010428 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5050265 | WA | -- | |
| CS10000430 | WA | CONSCIOUS SEDATION | |
| 5036876 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Stacey R Kutsch by the Centers for Medicare & Medicaid Services?
The Stacey R Kutsch has been assigned the NPI (National Provider Identifier) 1285723296. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Stacey R Kutsch's facilities are situated?
The facilities of Stacey R Kutsch are physically located at the following address: 7501 W Deschutes Pl, Kennewick, WA, 993367719.
What is the area of specialization for Stacey R Kutsch, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stacey R Kutsch is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date did Stacey R Kutsch receive its 1285723296 assignment from the Centers for Medicare & Medicaid Services?
The Stacey R Kutsch was assigned its 1285723296 on 2006-10-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Stacey R Kutsch last refreshed?
The information related to the Stacey R Kutsch, including its address, specialty, and other relevant details, was last updated on 2023-03-07.