Gary S Kodish in Fort Lauderdale - General Practice

Gary S Kodish - NPI 1487776712

Gary S Kodish is a General Practice in Fort Lauderdale, Florida. Gary S Kodish practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gary S Kodish is 1487776712. The last update date is 2007-07-08.

Gary S Kodish's current location address is 301 Se 16th St, Fort Lauderdale, Florida. You can contact this provider via phone number 9544625252 and fax number 9544625145. The mailing address for Gary S Kodish is 301 Se 16th St, Fort Lauderdale, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary S Kodish
Address 301 Se 16th St, Fort Lauderdale, Florida
Phone Number 9544625252
Fax Number 9544625145
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1487776712
Provider Enumeration Date 2007-04-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 301 Se 16th St
City Fort Lauderdale
State Florida (FL)
Post Code 333162505
Phone Number 9544625252
Fax Number 9544625145

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 8205
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
592018927 FL FED TAX ID

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FAQs about Gary S Kodish

What is the unique identification code assigned to Gary S Kodish by the Centers for Medicare & Medicaid Services?

The Gary S Kodish has been issued the NPI (National Provider Identifier) 1487776712. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Gary S Kodish is physically located?

The Gary S Kodish is physically situated at the following address: 301 Se 16Th St, Fort Lauderdale, FL, 333162505.

What is Gary S Kodish's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Gary S Kodish's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date was the 1487776712 assigned to Gary S Kodish?

The Gary S Kodish was issued its 1487776712 on 2007-04-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Gary S Kodish most recently updated?

The details pertaining to the Gary S Kodish, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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