Kenneth Michael Patrician in Middletown - Oral And Maxillofacial Surgery
Kenneth Michael Patrician - NPI 1265594063
Kenneth Michael Patrician is a Oral And Maxillofacial Surgery in Middletown, Connecticut. Kenneth Michael Patrician practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Kenneth Michael Patrician is 1265594063. The last update date is 2007-07-08.
Kenneth Michael Patrician's current location address is 583 Saybrook Rd, Middletown, Connecticut. You can contact this provider via phone number 8603466060 and fax number 8603463999. The mailing address for Kenneth Michael Patrician is 583 Saybrook Rd, Middletown, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Michael Patrician |
|---|---|
| Address | 583 Saybrook Rd, Middletown, Connecticut |
| Phone Number | 8603466060 |
| Fax Number | 8603463999 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1265594063 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 583 Saybrook Rd |
|---|---|
| City | Middletown |
| State | Connecticut (CT) |
| Post Code | 6457 |
| Phone Number | 8603466060 |
| Fax Number | 8603463999 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 5595 |
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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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What is the unique 10-digit identification code issued to Kenneth Michael Patrician by the Centers for Medicare & Medicaid Services?
The Kenneth Michael Patrician has been assigned the NPI (National Provider Identifier) 1265594063 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Kenneth Michael Patrician is located?
The Kenneth Michael Patrician is situated at the following address: 583 Saybrook Rd, Middletown, CT, 6457.
What is Kenneth Michael Patrician's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kenneth Michael Patrician is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
On what date did the Kenneth Michael Patrician receive its 1265594063 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Michael Patrician was assigned its 1265594063 by the Centers for Medicare & Medicaid Services on 2006-12-15.
When was the information regarding Kenneth Michael Patrician most recently updated?
The details pertaining to the Kenneth Michael Patrician, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY