Kevin A Deardorf in Indianapolis - Endodontics
Kevin A Deardorf - NPI 1083655658
Kevin A Deardorf is a Endodontics in Indianapolis, Indiana. Kevin A Deardorf practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Kevin A Deardorf is 1083655658. The last update date is 2007-07-08.
Kevin A Deardorf's current location address is 3750 Guion Rd, Indianapolis, Indiana. You can contact this provider via phone number 3179243228. The mailing address for Kevin A Deardorf is 3750 Guion Rd, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin A Deardorf |
|---|---|
| Address | 3750 Guion Rd, Indianapolis, Indiana |
| Phone Number | 3179243228 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | D.D.S.,M.S |
NPI Number Detail
| NPI Number | 1083655658 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3750 Guion Rd |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462227602 |
| Phone Number | 3179243228 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 12008684A |
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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 Kevin A Deardorf by the Centers for Medicare & Medicaid Services?
The Kevin A Deardorf has been issued the NPI (National Provider Identifier) 1083655658, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kevin A Deardorf located?
The Kevin A Deardorf is located at 3750 Guion Rd, Indianapolis, IN 462227602.
What is Kevin A Deardorf's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kevin A Deardorf is Endodontics, and the taxonomy classification code that categorizes this area of expertise is 1223E0200X.
On what date did Kevin A Deardorf receive its 1083655658 assignment from the Centers for Medicare & Medicaid Services?
The Kevin A Deardorf was assigned its 1083655658 on 2006-06-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kevin A Deardorf most recently updated or revised?
The information pertaining to Kevin A Deardorf, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.