Emil William Tetzner in Dover - Periodontics
Emil William Tetzner - NPI 1417961400
Emil William Tetzner is a Periodontics in Dover, Delaware. Emil William Tetzner practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Emil William Tetzner is 1417961400. The last update date is 2007-07-08.
Emil William Tetzner's current location address is 804 S State St, Dover, Delaware. You can contact this provider via phone number 3027449900 and fax number 3027449902. The mailing address for Emil William Tetzner is 804 S State St, Dover, Delaware. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Emil William Tetzner |
|---|---|
| Address | 804 S State St, Dover, Delaware |
| Phone Number | 3027449900 |
| Fax Number | 3027449902 |
| Sole Proprietor | Y |
| Credentials | DMD MS |
NPI Number Detail
| NPI Number | 1417961400 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 804 S State St |
|---|---|
| City | Dover |
| State | Delaware (DE) |
| Post Code | 199014123 |
| Phone Number | 3027449900 |
| Fax Number | 3027449902 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | G10001022 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 617755 | UNITED CONCORDIA INS | ||
| 1000033719 | DE | -- |
Post Comment/ Review Below
What is the Emil William Tetzner's 1417961400?
The Emil William Tetzner's NPI (National Provider Identifier) Number is 1417961400. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Emil William Tetzner?
The Emil William Tetzner is situated at 804 S State St, in the city of Dover, state of DE, with the zip code 199014123.
What is Emil William Tetzner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Emil William Tetzner is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417961400 to Emil William Tetzner?
The Emil William Tetzner received its 1417961400 assignment from the Centers for Medicare & Medicaid Services on 2006-07-28.
As of what date were the details pertaining to Emil William Tetzner last refreshed?
The information related to the Emil William Tetzner, including its address, specialty, and other relevant details, was last updated on 2007-07-08.