Ulf Me Wikesjo is a Periodontics in Augusta, Georgia. Ulf Me Wikesjo practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Ulf Me Wikesjo is 1134280829. The last update date is 2012-01-25.
Ulf Me Wikesjo's current location address is 1120 15th St, Augusta, Georgia. You can contact this provider via phone number 7067219633 and fax number 7067230266. The mailing address for Ulf Me Wikesjo is 1120 15th St, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ulf Me Wikesjo |
|---|---|
| Address | 1120 15th St, Augusta, Georgia |
| Phone Number | 7067219633 |
| Fax Number | 7067230266 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1134280829 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2012-01-25 |
Provider Mailing Address Detail
| Address | 1120 15th St |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309120004 |
| Phone Number | 7067219633 |
| Fax Number | 7067230266 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DNF000334 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1418385 | GA | TRICARE | |
| ZG0334 | SC | -- | |
| 555026389A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ulf Me Wikesjo by the Centers for Medicare & Medicaid Services?
The Ulf Me Wikesjo has been issued the NPI (National Provider Identifier) 1134280829 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Ulf Me Wikesjo is geographically located?
The Ulf Me Wikesjo is physically situated at the following location: 1120 15Th St, Augusta, GA, 309120004.
What is Ulf Me Wikesjo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ulf Me Wikesjo is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1134280829 to Ulf Me Wikesjo?
The Ulf Me Wikesjo received its 1134280829 assignment from the Centers for Medicare & Medicaid Services on 2006-12-13.
When was the information pertaining to Ulf Me Wikesjo most recently updated or revised?
The details related to Ulf Me Wikesjo, including its address, specialty, and other relevant information, were last updated or revised on 2012-01-25.
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