John Edward Heldridge in Edmonds - Oral And Maxillofacial Surgery

John Edward Heldridge - NPI 1093924243

John Edward Heldridge is a Oral And Maxillofacial Surgery in Edmonds, Washington. John Edward Heldridge practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for John Edward Heldridge is 1093924243. The last update date is 2007-07-08.

John Edward Heldridge's current location address is 21701 76th Ave W, Edmonds, Washington. You can contact this provider via phone number 4257441724. The mailing address for John Edward Heldridge is 21701 76th Ave W, Edmonds, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name John Edward Heldridge
Address 21701 76th Ave W, Edmonds, Washington
Phone Number 4257441724
Fax Number
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1093924243
Provider Enumeration Date 2007-05-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 21701 76th Ave W
City Edmonds
State Washington (WA)
Post Code 980267536
Phone Number 4257441724
Fax Number

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No DE00004286
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
5350608 WA --

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FAQs about John Edward Heldridge

What is the John Edward Heldridge's unique identification number?

The John Edward Heldridge has been assigned the NPI (National Provider Identifier) Number 1093924243 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of John Edward Heldridge?

The John Edward Heldridge is physically situated at 21701 76Th Ave W, in the city of Edmonds, state of WA, with the postal code 980267536.

What is John Edward Heldridge's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for John Edward Heldridge is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.

On what date did the John Edward Heldridge receive the assignment of its 1093924243 from the Centers for Medicare & Medicaid Services?

The John Edward Heldridge was issued its 1093924243 by the Centers for Medicare & Medicaid Services on 2007-05-22.

When was the information related to John Edward Heldridge most recently updated or refreshed?

The details pertaining to the John Edward Heldridge, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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