Dmitry Peysakhov in Issaquah - Oral And Maxillofacial Surgery
Dmitry Peysakhov - NPI 1477718229
Dmitry Peysakhov is a Oral And Maxillofacial Surgery in Issaquah, Washington. Dmitry Peysakhov practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Dmitry Peysakhov is 1477718229. The last update date is 2015-09-02.
Dmitry Peysakhov's current location address is 4047 258th Way Se, Issaquah, Washington. You can contact this provider via phone number 7818568080. The mailing address for Dmitry Peysakhov is 4047 258th Way Se, Issaquah, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dmitry Peysakhov |
|---|---|
| Address | 4047 258th Way Se, Issaquah, Washington |
| Phone Number | 7818568080 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1477718229 |
|---|---|
| Provider Enumeration Date | 2008-07-22 |
| Last Updated Date | 2015-09-02 |
Provider Mailing Address Detail
| Address | 4047 258th Way Se |
|---|---|
| City | Issaquah |
| State | Washington (WA) |
| Post Code | 980297763 |
| Phone Number | 7818568080 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DS038644 |
|
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 identifier code issued to Dmitry Peysakhov by the Centers for Medicare & Medicaid Services?
The Dmitry Peysakhov has been assigned the NPI (National Provider Identifier) 1477718229 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Dmitry Peysakhov is physically located?
The Dmitry Peysakhov is situated at the following address: 4047 258Th Way Se, Issaquah, WA 980297763.
What is Dmitry Peysakhov's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dmitry Peysakhov is Oral And Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 1223S0112X.
On what date did Dmitry Peysakhov receive its 1477718229 assignment from the Centers for Medicare & Medicaid Services?
The Dmitry Peysakhov was assigned its 1477718229 on 2008-07-22, 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 Dmitry Peysakhov most recently updated or refreshed?
The details pertaining to the Dmitry Peysakhov, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-09-02.
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