Martin A Tahara in Stillwater - Oral And Maxillofacial Surgery
Martin A Tahara - NPI 1053381061
Martin A Tahara is a Oral And Maxillofacial Surgery in Stillwater, Minnesota. Martin A Tahara practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Martin A Tahara is 1053381061. The last update date is 2007-07-09.
Martin A Tahara's current location address is 1701 Curve Crest Blvd W, Stillwater, Minnesota. You can contact this provider via phone number 6514398030 and fax number 6513510821. The mailing address for Martin A Tahara is 1701 Curve Crest Blvd W, Stillwater, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martin A Tahara |
|---|---|
| Address | 1701 Curve Crest Blvd W, Stillwater, Minnesota |
| Phone Number | 6514398030 |
| Fax Number | 6513510821 |
| Sole Proprietor | X |
| Credentials | DMD, MD |
NPI Number Detail
| NPI Number | 1053381061 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1701 Curve Crest Blvd W |
|---|---|
| City | Stillwater |
| State | Minnesota (MN) |
| Post Code | 550826044 |
| Phone Number | 6514398030 |
| Fax Number | 6513510821 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D11409 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33761200 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Martin A Tahara by the Centers for Medicare & Medicaid Services?
The Martin A Tahara has been assigned the NPI (National Provider Identifier) 1053381061 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Martin A Tahara?
The Martin A Tahara is situated at 1701 Curve Crest Blvd W, in the city of Stillwater, state of MN, with the zip code 550826044.
What is Martin A Tahara's specialized field of practice, and what is the corresponding taxonomy classification code?
The Martin A Tahara's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date did the Martin A Tahara receive its 1053381061 assignment from the Centers for Medicare & Medicaid Services?
The Martin A Tahara was assigned its 1053381061 by the Centers for Medicare & Medicaid Services on 2006-01-23.
When was the information pertaining to Martin A Tahara most recently updated or revised?
The details related to Martin A Tahara, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.