Paul William Kloostra in Charleston - Oral And Maxillofacial Surgery
Paul William Kloostra - NPI 1952503104
Paul William Kloostra is a Oral And Maxillofacial Surgery in Charleston, . Paul William Kloostra practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Paul William Kloostra is 1952503104. The last update date is 2023-09-19.
Paul William Kloostra's current location address is 830 Pennsylvania Ave 302, Charleston, . You can contact this provider via phone number 3043882950 and fax number 3043882951. The mailing address for Paul William Kloostra is 830 Pennsylvania Ave 302, Charleston, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul William Kloostra |
|---|---|
| Address | 830 Pennsylvania Ave 302, Charleston, |
| Phone Number | 3043882950 |
| Fax Number | 3043882951 |
| Sole Proprietor | N |
| Credentials | MD, DDS |
NPI Number Detail
| NPI Number | 1952503104 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2023-09-19 |
Provider Mailing Address Detail
| Address | 830 Pennsylvania Ave 302 |
|---|---|
| City | Charleston |
| State | (WV) |
| Post Code | 253023390 |
| Phone Number | 3043882950 |
| Fax Number | 3043882951 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 26313 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique identification code assigned to Paul William Kloostra by the Centers for Medicare & Medicaid Services?
The Paul William Kloostra has been issued the NPI (National Provider Identifier) 1952503104. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Paul William Kloostra is located?
The Paul William Kloostra is situated at the following address: 830 Pennsylvania Ave 302, Charleston, WV, 253023390.
What is Paul William Kloostra's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Paul William Kloostra's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did the Paul William Kloostra receive the assignment of its 1952503104 from the Centers for Medicare & Medicaid Services?
The Paul William Kloostra was issued its 1952503104 by the Centers for Medicare & Medicaid Services on 2007-06-01.
As of what date was the information regarding Paul William Kloostra, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Paul William Kloostra, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-09-19.
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