Jeffrey Howard Kootman in Phoenix - Oral And Maxillofacial Surgery
Jeffrey Howard Kootman - NPI 1205991858
Jeffrey Howard Kootman is a Oral And Maxillofacial Surgery in Phoenix, Arizona. Jeffrey Howard Kootman practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jeffrey Howard Kootman is 1205991858. The last update date is 2007-07-08.
Jeffrey Howard Kootman's current location address is 702 E Bell Rd, Phoenix, Arizona. You can contact this provider via phone number 6024931140 and fax number 6024935328. The mailing address for Jeffrey Howard Kootman is 702 E Bell Rd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Howard Kootman |
|---|---|
| Address | 702 E Bell Rd, Phoenix, Arizona |
| Phone Number | 6024931140 |
| Fax Number | 6024935328 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1205991858 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 702 E Bell Rd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 85022 |
| Phone Number | 6024931140 |
| Fax Number | 6024935328 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 3369 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 93229 | AZ | -- |
Post Comment/ Review Below
What is the Jeffrey Howard Kootman's unique identification number?
The Jeffrey Howard Kootman has been assigned the NPI (National Provider Identifier) Number 1205991858 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Jeffrey Howard Kootman?
The Jeffrey Howard Kootman is physically situated at 702 E Bell Rd, in the city of Phoenix, state of AZ, with the postal code 85022.
What is Jeffrey Howard Kootman'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 Jeffrey Howard Kootman is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.
When did the Jeffrey Howard Kootman receive its 1205991858?
The Jeffrey Howard Kootman was issued its 1205991858 on 2006-12-26, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Jeffrey Howard Kootman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeffrey Howard Kootman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1457355786
Address: P. O. Box 2358 Snow Hill Road, Salisbury, MD