David Gary Kerns is a Periodontics in Waco, Texas. David Gary Kerns practices all healthcare services and medical treatments related to Periodontics. The NPI Number for David Gary Kerns is 1215144324. The last update date is 2007-07-08.
David Gary Kerns's current location address is 5180 W Waco Dr, Waco, Texas. You can contact this provider via phone number 2543999800. The mailing address for David Gary Kerns is 5180 W Waco Dr, Waco, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Gary Kerns |
|---|---|
| Address | 5180 W Waco Dr, Waco, Texas |
| Phone Number | 2543999800 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1215144324 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5180 W Waco Dr |
|---|---|
| City | Waco |
| State | Texas (TX) |
| Post Code | 767107024 |
| Phone Number | 2543999800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 17577 |
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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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What is the David Gary Kerns's unique identification number?
The David Gary Kerns has been assigned the NPI (National Provider Identifier) Number 1215144324 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of David Gary Kerns?
The David Gary Kerns is situated at 5180 W Waco Dr, in the city of Waco, state of TX, with the zip code 767107024.
What is David Gary Kerns'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 David Gary Kerns is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
On what date did the David Gary Kerns receive the assignment of its 1215144324 from the Centers for Medicare & Medicaid Services?
The David Gary Kerns was issued its 1215144324 by the Centers for Medicare & Medicaid Services on 2007-05-17.
When was the David Gary Kerns's information last updated?
The David Gary Kerns's information was last updated on 2007-07-08.