Kenneth Ray Collins in Fayetteville - Oral And Maxillofacial Surgery
Kenneth Ray Collins - NPI 1114006020
Kenneth Ray Collins is a Oral And Maxillofacial Surgery in Fayetteville, Georgia. Kenneth Ray Collins practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Kenneth Ray Collins is 1114006020. The last update date is 2007-07-08.
Kenneth Ray Collins's current location address is 100 Carnegie Pl, Fayetteville, Georgia. You can contact this provider via phone number 7704610188 and fax number 7704610488. The mailing address for Kenneth Ray Collins is 100 Carnegie Pl, Fayetteville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Ray Collins |
|---|---|
| Address | 100 Carnegie Pl, Fayetteville, Georgia |
| Phone Number | 7704610188 |
| Fax Number | 7704610488 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1114006020 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 Carnegie Pl |
|---|---|
| City | Fayetteville |
| State | Georgia (GA) |
| Post Code | 302143905 |
| Phone Number | 7704610188 |
| Fax Number | 7704610488 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 12476 |
|
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 identification code issued to Kenneth Ray Collins by the Centers for Medicare & Medicaid Services?
The Kenneth Ray Collins has been assigned the NPI (National Provider Identifier) 1114006020 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Kenneth Ray Collins's physical address?
The Kenneth Ray Collins is physically located at 100 Carnegie Pl, in the city of Fayetteville, GA, with the postal code 302143905.
What is Kenneth Ray Collins's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kenneth Ray Collins is Oral And Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114006020 to Kenneth Ray Collins?
The Kenneth Ray Collins received its 1114006020 assignment from the Centers for Medicare & Medicaid Services on 2006-11-02.
As of what date were the details pertaining to Kenneth Ray Collins last refreshed?
The information related to the Kenneth Ray Collins, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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