John Samuel Nizic in Gresham - General Practice
John Samuel Nizic - NPI 1215046834
John Samuel Nizic is a General Practice in Gresham, Oregon. John Samuel Nizic practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Samuel Nizic is 1215046834. The last update date is 2007-07-08.
John Samuel Nizic's current location address is 60 Nw 2nd St, Gresham, Oregon. You can contact this provider via phone number 5036653116 and fax number 5036653563. The mailing address for John Samuel Nizic is 60 Nw 2nd St, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Samuel Nizic |
|---|---|
| Address | 60 Nw 2nd St, Gresham, Oregon |
| Phone Number | 5036653116 |
| Fax Number | 5036653563 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1215046834 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 60 Nw 2nd St |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970307222 |
| Phone Number | 5036653116 |
| Fax Number | 5036653563 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4650 |
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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 10-digit identifier code issued to John Samuel Nizic by the Centers for Medicare & Medicaid Services?
The John Samuel Nizic has been assigned the NPI (National Provider Identifier) 1215046834 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of John Samuel Nizic?
The John Samuel Nizic is physically situated at 60 Nw 2Nd St, in the city of Gresham, state of OR, with the postal code 970307222.
What is John Samuel Nizic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John Samuel Nizic is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215046834 to John Samuel Nizic?
The Centers for Medicare & Medicaid Services originally issued the 1215046834 to John Samuel Nizic on 2006-08-29.
When was the John Samuel Nizic's information last updated?
The John Samuel Nizic's information was last updated on 2007-07-08.
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