Kevin Ray Haddle in Geneva - Oral And Maxillofacial Surgery
Kevin Ray Haddle - NPI 1861434540
Kevin Ray Haddle is a Oral And Maxillofacial Surgery in Geneva, Illinois. Kevin Ray Haddle practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Kevin Ray Haddle is 1861434540. The last update date is 2007-07-08.
Kevin Ray Haddle's current location address is 426 S 3rd St, Geneva, Illinois. You can contact this provider via phone number 6302329090 and fax number 6302329094. The mailing address for Kevin Ray Haddle is 426 S 3rd St, Geneva, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Ray Haddle |
|---|---|
| Address | 426 S 3rd St, Geneva, Illinois |
| Phone Number | 6302329090 |
| Fax Number | 6302329094 |
| Sole Proprietor | Y |
| Credentials | DDS, MD |
NPI Number Detail
| NPI Number | 1861434540 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 426 S 3rd St |
|---|---|
| City | Geneva |
| State | Illinois (IL) |
| Post Code | 601342708 |
| Phone Number | 6302329090 |
| Fax Number | 6302329094 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
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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 Kevin Ray Haddle by the Centers for Medicare & Medicaid Services?
The Kevin Ray Haddle has been assigned the NPI (National Provider Identifier) 1861434540 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Kevin Ray Haddle located?
The Kevin Ray Haddle is located at 426 S 3Rd St, Geneva, IL 601342708.
What is Kevin Ray Haddle's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kevin Ray Haddle is Oral And Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 1223S0112X.
On what date did Kevin Ray Haddle receive its 1861434540 assignment from the Centers for Medicare & Medicaid Services?
The Kevin Ray Haddle was assigned its 1861434540 on 2006-06-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kevin Ray Haddle most recently updated or refreshed?
The details pertaining to the Kevin Ray Haddle, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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