Karen Potaczek in Spencer - Oral And Maxillofacial Surgery

Karen Potaczek - NPI 1700089513

Karen Potaczek is a Oral And Maxillofacial Surgery in Spencer, Iowa. Karen Potaczek practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Karen Potaczek is 1700089513. The last update date is 2014-02-11.

Karen Potaczek's current location address is 116 E 11th St, Spencer, Iowa. You can contact this provider via phone number 7122627350 and fax number 7122627351. The mailing address for Karen Potaczek is 116 E 11th St, Spencer, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Karen Potaczek
Address 116 E 11th St, Spencer, Iowa
Phone Number 7122627350
Fax Number 7122627351
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1700089513
Provider Enumeration Date 2007-06-08
Last Updated Date 2014-02-11

Provider Mailing Address Detail

Address 116 E 11th St
City Spencer
State Iowa (IA)
Post Code 513014393
Phone Number 7122627350
Fax Number 7122627351

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 8697
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1700089513 IA --
1700089513 MN --

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FAQs about Karen Potaczek

What is the unique 10-digit identifier code assigned to Karen Potaczek by the Centers for Medicare & Medicaid Services?

The Karen Potaczek has been issued the NPI (National Provider Identifier) 1700089513 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Karen Potaczek is located?

The Karen Potaczek is situated at the following address: 116 E 11Th St, Spencer, IA, 513014393.

What is Karen Potaczek's area of expertise and its corresponding taxonomy classification?

The Karen Potaczek'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 was the Karen Potaczek's 1700089513 issued?

The Karen Potaczek's 1700089513 was issued on 2007-06-08.

As of what date was the information pertaining to Karen Potaczek, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Karen Potaczek, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-02-11.

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