Gary Bernard in Phoenix - Periodontics

Gary Bernard - NPI 1770501496

Gary Bernard is a Periodontics in Phoenix, Arizona. Gary Bernard practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Gary Bernard is 1770501496. The last update date is 2007-07-08.

Gary Bernard's current location address is 7600 N 15th St Ste 170, Phoenix, Arizona. You can contact this provider via phone number 6028701238 and fax number 6029974951. The mailing address for Gary Bernard is 7600 N 15th St Ste 170, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary Bernard
Address 7600 N 15th St Ste 170, Phoenix, Arizona
Phone Number 6028701238
Fax Number 6029974951
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1770501496
Provider Enumeration Date 2006-07-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7600 N 15th St Ste 170
City Phoenix
State Arizona (AZ)
Post Code 850204305
Phone Number 6028701238
Fax Number 6029974951

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 6032
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Gary Bernard

What is the unique identification code assigned to Gary Bernard by the Centers for Medicare & Medicaid Services?

The Gary Bernard has been issued the NPI (National Provider Identifier) 1770501496. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Gary Bernard located?

The Gary Bernard is located at 7600 N 15Th St Ste 170, Phoenix, AZ 850204305.

What is Gary Bernard's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Gary Bernard's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.

On what date did the Gary Bernard receive the assignment of its 1770501496 from the Centers for Medicare & Medicaid Services?

The Gary Bernard was issued its 1770501496 by the Centers for Medicare & Medicaid Services on 2006-07-18.

As of what date were the Gary Bernard's details last updated?

The information pertaining to the Gary Bernard, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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