Eric Boles Wall in Stockton - Oral And Maxillofacial Surgery
Eric Boles Wall - NPI 1366479230
Eric Boles Wall is a Oral And Maxillofacial Surgery in Stockton, California. Eric Boles Wall practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Eric Boles Wall is 1366479230. The last update date is 2007-07-08.
Eric Boles Wall's current location address is 6529 Inglewood Ave, Stockton, California. You can contact this provider via phone number 2094733788 and fax number 2094732775. The mailing address for Eric Boles Wall is 6529 Inglewood Ave, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Boles Wall |
|---|---|
| Address | 6529 Inglewood Ave, Stockton, California |
| Phone Number | 2094733788 |
| Fax Number | 2094732775 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1366479230 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6529 Inglewood Ave |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952073864 |
| Phone Number | 2094733788 |
| Fax Number | 2094732775 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 26796 |
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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 10-digit identifier code issued to Eric Boles Wall by the Centers for Medicare & Medicaid Services?
The Eric Boles Wall has been assigned the NPI (National Provider Identifier) 1366479230 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Eric Boles Wall is physically located?
The Eric Boles Wall is physically situated at the following address: 6529 Inglewood Ave, Stockton, CA, 952073864.
What is Eric Boles Wall'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 Eric Boles Wall is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.
When did Eric Boles Wall receive its 1366479230 assignment?
The Eric Boles Wall was assigned its 1366479230 on 2006-06-27, which is the date when this unique identifier was issued to the organization.
When was the information regarding Eric Boles Wall, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Eric Boles Wall, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.