Forrest Robert Scandrett in Coralville - Prosthodontics

Forrest Robert Scandrett - NPI 1417084195

Forrest Robert Scandrett is a Prosthodontics in Coralville, Iowa. Forrest Robert Scandrett practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Forrest Robert Scandrett is 1417084195. The last update date is 2007-07-08.

Forrest Robert Scandrett's current location address is 180 Holiday Rd, Coralville, Iowa. You can contact this provider via phone number 3193377017 and fax number 3193372679. The mailing address for Forrest Robert Scandrett is 180 Holiday Rd, Coralville, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Forrest Robert Scandrett
Address 180 Holiday Rd, Coralville, Iowa
Phone Number 3193377017
Fax Number 3193372679
Sole Proprietor N
Credentials DDS, MS

NPI Number Detail

NPI Number 1417084195
Provider Enumeration Date 2007-02-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 180 Holiday Rd
City Coralville
State Iowa (IA)
Post Code 522411175
Phone Number 3193377017
Fax Number 3193372679

Provider's Primary Taxonomy Detail

Speciality Prosthodontics
Taxonomy 1223P0700X
Licence No 5401
Definition:
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial

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FAQs about Forrest Robert Scandrett

What is the unique identification code assigned to Forrest Robert Scandrett by the Centers for Medicare & Medicaid Services?

The Forrest Robert Scandrett has been issued the NPI (National Provider Identifier) 1417084195. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Forrest Robert Scandrett is geographically located?

The Forrest Robert Scandrett is physically situated at the following location: 180 Holiday Rd, Coralville, IA, 522411175.

What is Forrest Robert Scandrett's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Forrest Robert Scandrett is Prosthodontics, and the taxonomy code that categorizes this field of expertise is 1223P0700X.

On what date did the Forrest Robert Scandrett receive the assignment of its 1417084195 from the Centers for Medicare & Medicaid Services?

The Forrest Robert Scandrett was issued its 1417084195 by the Centers for Medicare & Medicaid Services on 2007-02-28.

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

The information related to Forrest Robert Scandrett, 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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