Conrad James Kusel in Port St Lucie - General Practice

Conrad James Kusel - NPI 1912113606

Conrad James Kusel is a General Practice in Port St Lucie, Florida. Conrad James Kusel practices all healthcare services and medical treatments related to General Practice. The NPI Number for Conrad James Kusel is 1912113606. The last update date is 2007-07-08.

Conrad James Kusel's current location address is 491 Sw Port St Lucie Blvd, Port St Lucie, Florida. You can contact this provider via phone number 7728787525 and fax number 7723401807. The mailing address for Conrad James Kusel is 491 Sw Port St Lucie Blvd, Port St Lucie, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Conrad James Kusel
Address 491 Sw Port St Lucie Blvd, Port St Lucie, Florida
Phone Number 7728787525
Fax Number 7723401807
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1912113606
Provider Enumeration Date 2007-05-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 491 Sw Port St Lucie Blvd
City Port St Lucie
State Florida (FL)
Post Code 349532044
Phone Number 7728787525
Fax Number 7723401807

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN 10782
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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FAQs about Conrad James Kusel

What is the unique provider identifier assigned to Conrad James Kusel?

The Conrad James Kusel has been issued the NPI (National Provider Identifier) 1912113606 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Conrad James Kusel's facilities are situated?

The facilities of Conrad James Kusel are physically located at the following address: 491 Sw Port St Lucie Blvd, Port St Lucie, FL, 349532044.

What is the Conrad James Kusel's specialty and taxonomy code?

The Conrad James Kusel's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did Conrad James Kusel receive its 1912113606 assignment from the Centers for Medicare & Medicaid Services?

The Conrad James Kusel was assigned its 1912113606 on 2007-05-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Conrad James Kusel, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Conrad James Kusel, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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