Orest G Komarnyckyj in Phoenix - Periodontics
Orest G Komarnyckyj - NPI 1871714741
Orest G Komarnyckyj is a Periodontics in Phoenix, Arizona. Orest G Komarnyckyj practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Orest G Komarnyckyj is 1871714741. The last update date is 2010-11-22.
Orest G Komarnyckyj's current location address is 1277 E Missouri Ave, Phoenix, Arizona. You can contact this provider via phone number 6022663430 and fax number 6022667519. The mailing address for Orest G Komarnyckyj is 1277 E Missouri Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Orest G Komarnyckyj |
|---|---|
| Address | 1277 E Missouri Ave, Phoenix, Arizona |
| Phone Number | 6022663430 |
| Fax Number | 6022667519 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1871714741 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2010-11-22 |
Provider Mailing Address Detail
| Address | 1277 E Missouri Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850142915 |
| Phone Number | 6022663430 |
| Fax Number | 6022667519 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | D2707 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identification code issued to Orest G Komarnyckyj by the Centers for Medicare & Medicaid Services?
The Orest G Komarnyckyj has been assigned the NPI (National Provider Identifier) 1871714741 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Orest G Komarnyckyj is physically located?
The Orest G Komarnyckyj is physically situated at the following address: 1277 E Missouri Ave, Phoenix, AZ, 850142915.
What is Orest G Komarnyckyj'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 Orest G Komarnyckyj is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
On what date did the Orest G Komarnyckyj receive the assignment of its 1871714741 from the Centers for Medicare & Medicaid Services?
The Orest G Komarnyckyj was issued its 1871714741 by the Centers for Medicare & Medicaid Services on 2007-05-01.
When was the information regarding Orest G Komarnyckyj, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Orest G Komarnyckyj, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-11-22.