John Phillip Waschak in Grants Pass - Pediatric Dentistry

John Phillip Waschak - NPI 1265632715

John Phillip Waschak is a Pediatric Dentistry in Grants Pass, Oregon. John Phillip Waschak practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for John Phillip Waschak is 1265632715. The last update date is 2009-12-15.

John Phillip Waschak's current location address is 560 Ne E St, Grants Pass, Oregon. You can contact this provider via phone number 5414768383 and fax number 5414700751. The mailing address for John Phillip Waschak is 560 Ne E St, Grants Pass, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name John Phillip Waschak
Address 560 Ne E St, Grants Pass, Oregon
Phone Number 5414768383
Fax Number 5414700751
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1265632715
Provider Enumeration Date 2007-07-23
Last Updated Date 2009-12-15

Provider Mailing Address Detail

Address 560 Ne E St
City Grants Pass
State Oregon (OR)
Post Code 975262326
Phone Number 5414768383
Fax Number 5414700751

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 55033
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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FAQs about John Phillip Waschak

What is the John Phillip Waschak's unique identification number?

The John Phillip Waschak has been assigned the NPI (National Provider Identifier) Number 1265632715 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of John Phillip Waschak?

The John Phillip Waschak is physically situated at 560 Ne E St, in the city of Grants Pass, state of OR, with the postal code 975262326.

What is John Phillip Waschak'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 Phillip Waschak is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.

When did John Phillip Waschak receive its 1265632715 assignment?

The John Phillip Waschak was assigned its 1265632715 on 2007-07-23, which is the date when this unique identifier was issued to the organization.

When was the information regarding John Phillip Waschak, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to John Phillip Waschak, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-12-15.

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