Kevin C. Duffy in Broken Arrow - Orthodontics And Dentofacial Orthopedics
Kevin C. Duffy - NPI 1578719456
Kevin C. Duffy is a Orthodontics And Dentofacial Orthopedics in Broken Arrow, Oklahoma. Kevin C. Duffy practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Kevin C. Duffy is 1578719456. The last update date is 2008-08-12.
Kevin C. Duffy's current location address is 1621 S Eucalyptus Ave Ste 201, Broken Arrow, Oklahoma. You can contact this provider via phone number 9182491818 and fax number 9182494343. The mailing address for Kevin C. Duffy is 1621 S Eucalyptus Ave Ste 201, Broken Arrow, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin C. Duffy |
|---|---|
| Address | 1621 S Eucalyptus Ave Ste 201, Broken Arrow, Oklahoma |
| Phone Number | 9182491818 |
| Fax Number | 9182494343 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1578719456 |
|---|---|
| Provider Enumeration Date | 2008-08-12 |
| Last Updated Date | 2008-08-12 |
Provider Mailing Address Detail
| Address | 1621 S Eucalyptus Ave Ste 201 |
|---|---|
| City | Broken Arrow |
| State | Oklahoma (OK) |
| Post Code | 740125950 |
| Phone Number | 9182491818 |
| Fax Number | 9182494343 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 5378 |
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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 Kevin C. Duffy by the Centers for Medicare & Medicaid Services?
The Kevin C. Duffy has been issued the NPI (National Provider Identifier) 1578719456. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kevin C. Duffy?
The Kevin C. Duffy is situated at 1621 S Eucalyptus Ave Ste 201, in the city of Broken Arrow, state of OK, with the zip code 740125950.
What is Kevin C. Duffy's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kevin C. Duffy's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578719456 to Kevin C. Duffy?
The Centers for Medicare & Medicaid Services assigned the 1578719456 to Kevin C. Duffy on 2008-08-12.
As of what date was the information regarding Kevin C. Duffy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kevin C. Duffy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-12.
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