Adam J Shipp is a Endodontics in Boise, Idaho. Adam J Shipp practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Adam J Shipp is 1114077369. The last update date is 2007-07-08.
Adam J Shipp's current location address is 1555 S Timesquare Ln, Boise, Idaho. You can contact this provider via phone number 2086728860 and fax number 2086728767. The mailing address for Adam J Shipp is 1555 S Timesquare Ln, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Adam J Shipp |
|---|---|
| Address | 1555 S Timesquare Ln, Boise, Idaho |
| Phone Number | 2086728860 |
| Fax Number | 2086728767 |
| Sole Proprietor | N |
| Credentials | DMD, MS |
NPI Number Detail
| NPI Number | 1114077369 |
|---|---|
| Provider Enumeration Date | 2007-01-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1555 S Timesquare Ln |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837098266 |
| Phone Number | 2086728860 |
| Fax Number | 2086728767 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | D3834EN |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identification code assigned to Adam J Shipp by the Centers for Medicare & Medicaid Services?
The Adam J Shipp has been issued the NPI (National Provider Identifier) 1114077369, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Adam J Shipp's physical address?
The Adam J Shipp is physically located at 1555 S Timesquare Ln, in the city of Boise, ID, with the postal code 837098266.
What is Adam J Shipp's specialized field of practice, and what is the corresponding taxonomy classification code?
The Adam J Shipp's area of specialization is Endodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223E0200X.
On what date was the 1114077369 assigned to Adam J Shipp?
The Adam J Shipp was issued its 1114077369 on 2007-01-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Adam J Shipp's information last updated?
The Adam J Shipp's information was last updated on 2007-07-08.
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