Russell Evans Speer in Merced - Orthodontics And Dentofacial Orthopedics
Russell Evans Speer - NPI 1922089986
Russell Evans Speer is a Orthodontics And Dentofacial Orthopedics in Merced, California. Russell Evans Speer practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Russell Evans Speer is 1922089986. The last update date is 2007-07-08.
Russell Evans Speer's current location address is 564 W 25th St, Merced, California. You can contact this provider via phone number 2097226257. The mailing address for Russell Evans Speer is 564 W 25th St, Merced, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Evans Speer |
|---|---|
| Address | 564 W 25th St, Merced, California |
| Phone Number | 2097226257 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1922089986 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 564 W 25th St |
|---|---|
| City | Merced |
| State | California (CA) |
| Post Code | 953402828 |
| Phone Number | 2097226257 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 26788 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D26788 | CA | -- | |
| G9217501 | CA | MEDICAL BILLING PROVIDER | |
| 887064 | PA | UNITED CONCORDIA TRICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Russell Evans Speer by the Centers for Medicare & Medicaid Services?
The Russell Evans Speer has been assigned the NPI (National Provider Identifier) 1922089986 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Russell Evans Speer's physical address?
The Russell Evans Speer is physically located at 564 W 25Th St, in the city of Merced, CA, with the postal code 953402828.
What is Russell Evans Speer's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Russell Evans Speer's specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1922089986 to Russell Evans Speer?
The Centers for Medicare & Medicaid Services originally issued the 1922089986 to Russell Evans Speer on 2005-11-08.
When was the Russell Evans Speer's information last updated?
The Russell Evans Speer's information was last updated on 2007-07-08.
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