Kevin Mark Fahey is a Endodontics in Syracuse, New York. Kevin Mark Fahey practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Kevin Mark Fahey is 1124210919. The last update date is 2007-08-15.
Kevin Mark Fahey's current location address is 600 East Genesee St, Syracuse, New York. You can contact this provider via phone number 3154767406 and fax number 3154767408. The mailing address for Kevin Mark Fahey is 600 East Genesee St, Syracuse, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Mark Fahey |
|---|---|
| Address | 600 East Genesee St, Syracuse, New York |
| Phone Number | 3154767406 |
| Fax Number | 3154767408 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1124210919 |
|---|---|
| Provider Enumeration Date | 2007-08-15 |
| Last Updated Date | 2007-08-15 |
Provider Mailing Address Detail
| Address | 600 East Genesee St |
|---|---|
| City | Syracuse |
| State | New York (NY) |
| Post Code | 13202 |
| Phone Number | 3154767406 |
| Fax Number | 3154767408 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | NY050049 |
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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 Mark Fahey by the Centers for Medicare & Medicaid Services?
The Kevin Mark Fahey has been issued the NPI (National Provider Identifier) 1124210919, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kevin Mark Fahey's facilities are situated?
The facilities of Kevin Mark Fahey are physically located at the following address: 600 East Genesee St, Syracuse, NY, 13202.
What is the area of specialization for Kevin Mark Fahey, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kevin Mark Fahey is Endodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223E0200X.
On what date was the 1124210919 assigned to Kevin Mark Fahey?
The Kevin Mark Fahey was issued its 1124210919 on 2007-08-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kevin Mark Fahey most recently updated or revised?
The information pertaining to Kevin Mark Fahey, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-15.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN