Jeri Lynnette Stull in Fort Thomas - Orthodontics And Dentofacial Orthopedics

Jeri Lynnette Stull - NPI 1104831759

Jeri Lynnette Stull is a Orthodontics And Dentofacial Orthopedics in Fort Thomas, Kentucky. Jeri Lynnette Stull practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jeri Lynnette Stull is 1104831759. The last update date is 2007-07-08.

Jeri Lynnette Stull's current location address is 637 Highland Ave, Fort Thomas, Kentucky. You can contact this provider via phone number 8597812662 and fax number 8597811029. The mailing address for Jeri Lynnette Stull is 637 Highland Ave, Fort Thomas, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeri Lynnette Stull
Address 637 Highland Ave, Fort Thomas, Kentucky
Phone Number 8597812662
Fax Number 8597811029
Sole Proprietor Y
Credentials D.M.D., M.

NPI Number Detail

NPI Number 1104831759
Provider Enumeration Date 2006-07-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 637 Highland Ave
City Fort Thomas
State Kentucky (KY)
Post Code 410751746
Phone Number 8597812662
Fax Number 8597811029

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 7053
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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FAQs about Jeri Lynnette Stull

What is the unique 10-digit identifier code assigned to Jeri Lynnette Stull by the Centers for Medicare & Medicaid Services?

The Jeri Lynnette Stull has been issued the NPI (National Provider Identifier) 1104831759 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Jeri Lynnette Stull's facilities are geographically located?

The facilities of Jeri Lynnette Stull are physically situated at the following location: 637 Highland Ave, Fort Thomas, KY, 410751746.

What is the area of specialization for Jeri Lynnette Stull, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jeri Lynnette Stull is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.

On what date did Jeri Lynnette Stull receive its 1104831759 assignment from the Centers for Medicare & Medicaid Services?

The Jeri Lynnette Stull was assigned its 1104831759 on 2006-07-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Jeri Lynnette Stull, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jeri Lynnette Stull, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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