Robert Roy Thousand in St Augustine - Periodontics

Robert Roy Thousand - NPI 1326264615

Robert Roy Thousand is a Periodontics in St Augustine, Florida. Robert Roy Thousand practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Robert Roy Thousand is 1326264615. The last update date is 2007-07-08.

Robert Roy Thousand's current location address is 10 Saint Johns Medical Pk Dr, St Augustine, Florida. You can contact this provider via phone number 9047941824 and fax number 9047977739. The mailing address for Robert Roy Thousand is 10 Saint Johns Medical Pk Dr, St Augustine, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Roy Thousand
Address 10 Saint Johns Medical Pk Dr, St Augustine, Florida
Phone Number 9047941824
Fax Number 9047977739
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1326264615
Provider Enumeration Date 2007-04-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 10 Saint Johns Medical Pk Dr
City St Augustine
State Florida (FL)
Post Code 320865201
Phone Number 9047941824
Fax Number 9047977739

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 7967
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 Robert Roy Thousand

What is the Robert Roy Thousand's 1326264615?

The Robert Roy Thousand's NPI (National Provider Identifier) Number is 1326264615. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Robert Roy Thousand's facilities are geographically located?

The facilities of Robert Roy Thousand are physically situated at the following location: 10 Saint Johns Medical Pk Dr, St Augustine, FL, 320865201.

What is Robert Roy Thousand's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Robert Roy Thousand is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.

On what date did the Robert Roy Thousand receive its 1326264615 assignment from the Centers for Medicare & Medicaid Services?

The Robert Roy Thousand was assigned its 1326264615 by the Centers for Medicare & Medicaid Services on 2007-04-17.

As of what date was the information regarding Robert Roy Thousand, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Robert Roy Thousand, 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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