Orest G Komarnyckyj Dds Pc in Phoenix - Periodontics
Orest G Komarnyckyj Dds Pc - NPI 1023186087
Orest G Komarnyckyj Dds Pc is a Periodontics in Phoenix, Arizona. Orest G Komarnyckyj Dds Pc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Orest G Komarnyckyj Dds Pc is 1023186087. The last update date is 2020-08-22.
Orest G Komarnyckyj Dds Pc's current location address is 1277 E Missouri Ave, Phoenix, Arizona. You can contact this provider via phone number 6022663430. The mailing address for Orest G Komarnyckyj Dds Pc is 1277 E Missouri Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Orest G Komarnyckyj Dds Pc |
|---|---|
| Address | 1277 E Missouri Ave, Phoenix, Arizona |
| Phone Number | 6022663430 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Komarnyckyj Gregory Orest |
| Credentials | DDS |
| Telephone Number | 6022663430 |
NPI Number Detail
| NPI Number | 1023186087 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1277 E Missouri Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850142915 |
| Phone Number | 6022663430 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | D2707 |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Orest G Komarnyckyj Dds Pc by the Centers for Medicare & Medicaid Services?
The Orest G Komarnyckyj Dds Pc has been assigned the NPI (National Provider Identifier) 1023186087. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Orest G Komarnyckyj Dds Pc is physically located?
The Orest G Komarnyckyj Dds Pc is physically situated at the following address: 1277 E Missouri Ave, Phoenix, AZ, 850142915.
What is Orest G Komarnyckyj Dds Pc'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 Dds Pc is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023186087 to Orest G Komarnyckyj Dds Pc?
The Orest G Komarnyckyj Dds Pc received its 1023186087 assignment from the Centers for Medicare & Medicaid Services on 2006-11-30.
As of what date were the details pertaining to Orest G Komarnyckyj Dds Pc last refreshed?
The information related to the Orest G Komarnyckyj Dds Pc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.