Mary Elizabeth Imdieke in Minneapolis - Prosthodontics
Mary Elizabeth Imdieke - NPI 1023180023
Mary Elizabeth Imdieke is a Prosthodontics in Minneapolis, Minnesota. Mary Elizabeth Imdieke practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Mary Elizabeth Imdieke is 1023180023. The last update date is 2007-08-14.
Mary Elizabeth Imdieke's current location address is 515 Delaware St Se, Minneapolis, Minnesota. You can contact this provider via phone number 6126252495. The mailing address for Mary Elizabeth Imdieke is 515 Delaware St Se, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Elizabeth Imdieke |
|---|---|
| Address | 515 Delaware St Se, Minneapolis, Minnesota |
| Phone Number | 6126252495 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1023180023 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2007-08-14 |
Provider Mailing Address Detail
| Address | 515 Delaware St Se |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554550357 |
| Phone Number | 6126252495 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | D11276 |
|
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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Post Comment/ Review Below
What is the Mary Elizabeth Imdieke's unique identification number?
The Mary Elizabeth Imdieke has been assigned the NPI (National Provider Identifier) Number 1023180023 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 Mary Elizabeth Imdieke?
The Mary Elizabeth Imdieke is situated at 515 Delaware St Se, in the city of Minneapolis, state of MN, with the zip code 554550357.
What is Mary Elizabeth Imdieke's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Elizabeth Imdieke is Prosthodontics, and the taxonomy code that classifies this field of practice is 1223P0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023180023 to Mary Elizabeth Imdieke?
The Centers for Medicare & Medicaid Services assigned the 1023180023 to Mary Elizabeth Imdieke on 2006-11-14.
As of what date were the details pertaining to Mary Elizabeth Imdieke last refreshed?
The information related to the Mary Elizabeth Imdieke, including its address, specialty, and other relevant details, was last updated on 2007-08-14.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA