Amanda Jo Okundaye in Las Vegas - Dentist Anesthesiologist
Amanda Jo Okundaye - NPI 1700044781
Amanda Jo Okundaye is a Dentist Anesthesiologist in Las Vegas, Nevada. Amanda Jo Okundaye practices all healthcare services and medical treatments related to Dentist Anesthesiologist. The NPI Number for Amanda Jo Okundaye is 1700044781. The last update date is 2013-05-20.
Amanda Jo Okundaye's current location address is 3815 Tropical Vine St, Las Vegas, Nevada. You can contact this provider via phone number 3104866656 and fax number 8662353806. The mailing address for Amanda Jo Okundaye is 3815 Tropical Vine St, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Jo Okundaye |
|---|---|
| Address | 3815 Tropical Vine St, Las Vegas, Nevada |
| Phone Number | 3104866656 |
| Fax Number | 8662353806 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1700044781 |
|---|---|
| Provider Enumeration Date | 2008-05-27 |
| Last Updated Date | 2013-05-20 |
Provider Mailing Address Detail
| Address | 3815 Tropical Vine St |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891478079 |
| Phone Number | 3104866656 |
| Fax Number | 8662353806 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist Anesthesiologist |
|---|---|
| Taxonomy | 1223D0004X |
| Licence No | 56779 |
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Definition: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residenc |
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What is the unique provider identifier assigned to Amanda Jo Okundaye?
The Amanda Jo Okundaye has been issued the NPI (National Provider Identifier) 1700044781 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Amanda Jo Okundaye's facilities are geographically located?
The facilities of Amanda Jo Okundaye are physically situated at the following location: 3815 Tropical Vine St, Las Vegas, NV, 891478079.
What is Amanda Jo Okundaye's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Amanda Jo Okundaye is Dentist Anesthesiologist, and the taxonomy code that categorizes this field of expertise is 1223D0004X.
When did Amanda Jo Okundaye receive its 1700044781 assignment?
The Amanda Jo Okundaye was assigned its 1700044781 on 2008-05-27, which is the date when this unique identifier was issued to the organization.
When was the Amanda Jo Okundaye's information last updated?
The Amanda Jo Okundaye's information was last updated on 2013-05-20.
NPI Number: 1336142389
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