James M. Shaddock in Greeley - General Practice
James M. Shaddock - NPI 1568584142
James M. Shaddock is a General Practice in Greeley, Colorado. James M. Shaddock practices all healthcare services and medical treatments related to General Practice. The NPI Number for James M. Shaddock is 1568584142. The last update date is 2014-04-23.
James M. Shaddock's current location address is 516 N. Brisbane Ave, Greeley, Colorado. You can contact this provider via phone number 9703562605. The mailing address for James M. Shaddock is 516 N. Brisbane Ave, Greeley, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James M. Shaddock |
|---|---|
| Address | 516 N. Brisbane Ave, Greeley, Colorado |
| Phone Number | 9703562605 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1568584142 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2014-04-23 |
Provider Mailing Address Detail
| Address | 516 N. Brisbane Ave |
|---|---|
| City | Greeley |
| State | Colorado (CO) |
| Post Code | 80634 |
| Phone Number | 9703562605 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 430 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2043016 | CO | -- |
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What is the unique 10-digit identification code issued to James M. Shaddock by the Centers for Medicare & Medicaid Services?
The James M. Shaddock has been assigned the NPI (National Provider Identifier) 1568584142 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where James M. Shaddock is geographically located?
The James M. Shaddock is physically situated at the following location: 516 N. Brisbane Ave, Greeley, CO, 80634.
What is James M. Shaddock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The James M. Shaddock's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568584142 to James M. Shaddock?
The Centers for Medicare & Medicaid Services originally issued the 1568584142 to James M. Shaddock on 2007-04-04.
When was the information regarding James M. Shaddock most recently updated?
The details pertaining to the James M. Shaddock, including its address, specialty, and other relevant information, were last refreshed on 2014-04-23.
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