Gayle Reardon in Sioux Falls - General Practice

Gayle Reardon - NPI 1801013255

Gayle Reardon is a General Practice in Sioux Falls, South Dakota. Gayle Reardon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gayle Reardon is 1801013255. The last update date is 2007-07-08.

Gayle Reardon's current location address is 3305 South Lincoln Avenue, Sioux Falls, South Dakota. You can contact this provider via phone number 6053368144 and fax number 6053353568. The mailing address for Gayle Reardon is 3305 South Lincoln Avenue, Sioux Falls, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Gayle Reardon
Address 3305 South Lincoln Avenue, Sioux Falls, South Dakota
Phone Number 6053368144
Fax Number 6053353568
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1801013255
Provider Enumeration Date 2007-04-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3305 South Lincoln Avenue
City Sioux Falls
State South Dakota (SD)
Post Code 571055224
Phone Number 6053368144
Fax Number 6053353568

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No M518
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
D8755 SD MINNESOTA LIC #
M518 SD SOUTH DAKOTA LIC #

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FAQs about Gayle Reardon

What is the Gayle Reardon's unique identification number?

The Gayle Reardon has been assigned the NPI (National Provider Identifier) Number 1801013255 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Gayle Reardon?

The Gayle Reardon is situated at 3305 South Lincoln Avenue, in the city of Sioux Falls, state of SD, with the zip code 571055224.

What is Gayle Reardon's specialized field of practice, and what is the corresponding taxonomy classification code?

The Gayle Reardon's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

When did the Gayle Reardon receive its 1801013255?

The Gayle Reardon was issued its 1801013255 on 2007-04-19, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Gayle Reardon most recently updated or revised?

The information pertaining to Gayle Reardon, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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