Blair Andrew Kirk in Petaluma - Orthodontics And Dentofacial Orthopedics
Blair Andrew Kirk - NPI 1861524118
Blair Andrew Kirk is a Orthodontics And Dentofacial Orthopedics in Petaluma, California. Blair Andrew Kirk practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Blair Andrew Kirk is 1861524118. The last update date is 2007-07-08.
Blair Andrew Kirk's current location address is 3835 Cypress Dr, Petaluma, California. You can contact this provider via phone number 7077628047 and fax number 7077625439. The mailing address for Blair Andrew Kirk is 3835 Cypress Dr, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blair Andrew Kirk |
|---|---|
| Address | 3835 Cypress Dr, Petaluma, California |
| Phone Number | 7077628047 |
| Fax Number | 7077625439 |
| Sole Proprietor | Y |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1861524118 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3835 Cypress Dr |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949546965 |
| Phone Number | 7077628047 |
| Fax Number | 7077625439 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 40364 |
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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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What is the unique identification code assigned to Blair Andrew Kirk by the Centers for Medicare & Medicaid Services?
The Blair Andrew Kirk has been issued the NPI (National Provider Identifier) 1861524118. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Blair Andrew Kirk is physically located?
The Blair Andrew Kirk is situated at the following address: 3835 Cypress Dr, Petaluma, CA 949546965.
What is the Blair Andrew Kirk's specialty and taxonomy code?
The Blair Andrew Kirk's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
On what date was the 1861524118 assigned to Blair Andrew Kirk?
The Blair Andrew Kirk was issued its 1861524118 on 2007-03-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Blair Andrew Kirk last refreshed?
The information related to the Blair Andrew Kirk, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY