Kirk Jason Opdahl in Independence - General Practice
Kirk Jason Opdahl - NPI 1790806032
Kirk Jason Opdahl is a General Practice in Independence, Missouri. Kirk Jason Opdahl practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kirk Jason Opdahl is 1790806032. The last update date is 2010-09-30.
Kirk Jason Opdahl's current location address is 19201 E Valley View Pkwy, Independence, Missouri. You can contact this provider via phone number 8164783600 and fax number 8164780246. The mailing address for Kirk Jason Opdahl is 19201 E Valley View Pkwy, Independence, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kirk Jason Opdahl |
|---|---|
| Address | 19201 E Valley View Pkwy, Independence, Missouri |
| Phone Number | 8164783600 |
| Fax Number | 8164780246 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1790806032 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2010-09-30 |
Provider Mailing Address Detail
| Address | 19201 E Valley View Pkwy |
|---|---|
| City | Independence |
| State | Missouri (MO) |
| Post Code | 640556910 |
| Phone Number | 8164783600 |
| Fax Number | 8164780246 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 15713 |
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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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What is the unique identification code assigned to Kirk Jason Opdahl by the Centers for Medicare & Medicaid Services?
The Kirk Jason Opdahl has been issued the NPI (National Provider Identifier) 1790806032. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kirk Jason Opdahl is geographically located?
The Kirk Jason Opdahl is physically situated at the following location: 19201 E Valley View Pkwy, Independence, MO, 640556910.
What is the Kirk Jason Opdahl's specialty and taxonomy code?
The Kirk Jason Opdahl's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Kirk Jason Opdahl receive the assignment of its 1790806032 from the Centers for Medicare & Medicaid Services?
The Kirk Jason Opdahl was issued its 1790806032 by the Centers for Medicare & Medicaid Services on 2007-04-03.
When was the information related to Kirk Jason Opdahl most recently updated or refreshed?
The details pertaining to the Kirk Jason Opdahl, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-09-30.