Steven Russell Patty in Monroe - Oral And Maxillofacial Surgery

Steven Russell Patty - NPI 1922020387

Steven Russell Patty is a Oral And Maxillofacial Surgery in Monroe, North Carolina. Steven Russell Patty practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Steven Russell Patty is 1922020387. The last update date is 2012-03-15.

Steven Russell Patty's current location address is 1851 Wellness Blvd, Monroe, North Carolina. You can contact this provider via phone number 7042917333 and fax number 7042921203. The mailing address for Steven Russell Patty is 1851 Wellness Blvd, Monroe, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Steven Russell Patty
Address 1851 Wellness Blvd, Monroe, North Carolina
Phone Number 7042917333
Fax Number 7042921203
Sole Proprietor N
Credentials DDS, PA

NPI Number Detail

NPI Number 1922020387
Provider Enumeration Date 2006-07-24
Last Updated Date 2012-03-15

Provider Mailing Address Detail

Address 1851 Wellness Blvd
City Monroe
State North Carolina (NC)
Post Code 281107774
Phone Number 7042917333
Fax Number 7042921203

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 5322
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
8996674 NC --
583212 PA UNITED CONCORDIA INS
ZN5322 SC --
96674 NC BLUE CROSS BLUE SHIELD NC
328400 CO TRIGON BCBS INS

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FAQs about Steven Russell Patty

What is the unique 10-digit identification code issued to Steven Russell Patty by the Centers for Medicare & Medicaid Services?

The Steven Russell Patty has been assigned the NPI (National Provider Identifier) 1922020387 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Steven Russell Patty is physically located?

The Steven Russell Patty is physically situated at the following address: 1851 Wellness Blvd, Monroe, NC, 281107774.

What is Steven Russell Patty's specialized field of practice, and what is the corresponding taxonomy classification code?

The Steven Russell Patty'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 Steven Russell Patty receive its 1922020387 assignment from the Centers for Medicare & Medicaid Services?

The Steven Russell Patty was assigned its 1922020387 on 2006-07-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Steven Russell Patty most recently updated or revised?

The information pertaining to Steven Russell Patty, including its address, specialty, and other relevant details, was last updated or revised on 2012-03-15.

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