Raymond A Kenzik in Ormond Beach - Periodontics
Raymond A Kenzik - NPI 1710059159
Raymond A Kenzik is a Periodontics in Ormond Beach, Florida. Raymond A Kenzik practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Raymond A Kenzik is 1710059159. The last update date is 2007-07-08.
Raymond A Kenzik's current location address is 220 S Nova Rd, Ormond Beach, Florida. You can contact this provider via phone number 3866729440 and fax number 3866724447. The mailing address for Raymond A Kenzik is 220 S Nova Rd, Ormond Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Raymond A Kenzik |
|---|---|
| Address | 220 S Nova Rd, Ormond Beach, Florida |
| Phone Number | 3866729440 |
| Fax Number | 3866724447 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1710059159 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 220 S Nova Rd |
|---|---|
| City | Ormond Beach |
| State | Florida (FL) |
| Post Code | 321746117 |
| Phone Number | 3866729440 |
| Fax Number | 3866724447 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DN6025 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Raymond A Kenzik?
The Raymond A Kenzik has been issued the NPI (National Provider Identifier) 1710059159 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Raymond A Kenzik's facilities are situated?
The facilities of Raymond A Kenzik are physically located at the following address: 220 S Nova Rd, Ormond Beach, FL, 321746117.
What is Raymond A Kenzik's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Raymond A Kenzik is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
On what date did the Raymond A Kenzik receive the assignment of its 1710059159 from the Centers for Medicare & Medicaid Services?
The Raymond A Kenzik was issued its 1710059159 by the Centers for Medicare & Medicaid Services on 2006-11-14.
As of what date were the details related to Raymond A Kenzik most recently updated or revised?
The information pertaining to Raymond A Kenzik, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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