Keith L Radack in Burbank - Oral And Maxillofacial Surgery
Keith L Radack - NPI 1609915412
Keith L Radack is a Oral And Maxillofacial Surgery in Burbank, California. Keith L Radack practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Keith L Radack is 1609915412. The last update date is 2013-10-25.
Keith L Radack's current location address is 2625 W Alameda Ave, Burbank, California. You can contact this provider via phone number 8188452616 and fax number 8188453359. The mailing address for Keith L Radack is 2625 W Alameda Ave, Burbank, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith L Radack |
|---|---|
| Address | 2625 W Alameda Ave, Burbank, California |
| Phone Number | 8188452616 |
| Fax Number | 8188453359 |
| Sole Proprietor | N |
| Credentials | DR. |
NPI Number Detail
| NPI Number | 1609915412 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2013-10-25 |
Provider Mailing Address Detail
| Address | 2625 W Alameda Ave |
|---|---|
| City | Burbank |
| State | California (CA) |
| Post Code | 91505 |
| Phone Number | 8188452616 |
| Fax Number | 8188453359 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D23024 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Keith L Radack?
The Keith L Radack has been issued the NPI (National Provider Identifier) 1609915412 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Keith L Radack is geographically located?
The Keith L Radack is physically situated at the following location: 2625 W Alameda Ave, Burbank, CA, 91505.
What is Keith L Radack's area of expertise and its corresponding taxonomy classification?
The Keith L Radack's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.
When did the Keith L Radack receive its 1609915412?
The Keith L Radack was issued its 1609915412 on 2007-02-06, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Keith L Radack, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Keith L Radack, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-10-25.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC