Kevin William Ensley in Beaverton - Orthodontics And Dentofacial Orthopedics
Kevin William Ensley - NPI 1659370468
Kevin William Ensley is a Orthodontics And Dentofacial Orthopedics in Beaverton, Oregon. Kevin William Ensley practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Kevin William Ensley is 1659370468. The last update date is 2007-07-08.
Kevin William Ensley's current location address is 3810 Sw Hall Blvd, Beaverton, Oregon. You can contact this provider via phone number 5036439509 and fax number 5036462886. The mailing address for Kevin William Ensley is 3810 Sw Hall Blvd, Beaverton, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin William Ensley |
|---|---|
| Address | 3810 Sw Hall Blvd, Beaverton, Oregon |
| Phone Number | 5036439509 |
| Fax Number | 5036462886 |
| Sole Proprietor | X |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1659370468 |
|---|---|
| Provider Enumeration Date | 2005-07-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3810 Sw Hall Blvd |
|---|---|
| City | Beaverton |
| State | Oregon (OR) |
| Post Code | 970052048 |
| Phone Number | 5036439509 |
| Fax Number | 5036462886 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 6565 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Kevin William Ensley by the Centers for Medicare & Medicaid Services?
The Kevin William Ensley has been assigned the NPI (National Provider Identifier) 1659370468. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kevin William Ensley is geographically located?
The Kevin William Ensley is physically situated at the following location: 3810 Sw Hall Blvd, Beaverton, OR, 970052048.
What is Kevin William Ensley's area of expertise and its corresponding taxonomy classification?
The Kevin William Ensley's field of specialization is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1659370468 to Kevin William Ensley?
The Centers for Medicare & Medicaid Services assigned the 1659370468 to Kevin William Ensley on 2005-07-14.
As of what date was the information pertaining to Kevin William Ensley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kevin William Ensley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.