Charles Douglas Vandyck in Great Falls - Periodontics
Charles Douglas Vandyck - NPI 1508915588
Charles Douglas Vandyck is a Periodontics in Great Falls, Montana. Charles Douglas Vandyck practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Charles Douglas Vandyck is 1508915588. The last update date is 2007-07-08.
Charles Douglas Vandyck's current location address is 2601 16th Ave S, Great Falls, Montana. You can contact this provider via phone number 4067276232. The mailing address for Charles Douglas Vandyck is 2601 16th Ave S, Great Falls, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Douglas Vandyck |
|---|---|
| Address | 2601 16th Ave S, Great Falls, Montana |
| Phone Number | 4067276232 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS, MSD |
NPI Number Detail
| NPI Number | 1508915588 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2601 16th Ave S |
|---|---|
| City | Great Falls |
| State | Montana (MT) |
| Post Code | 594055202 |
| Phone Number | 4067276232 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 1369 |
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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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Post Comment/ Review Below
What is the Charles Douglas Vandyck's 1508915588?
The Charles Douglas Vandyck's NPI (National Provider Identifier) Number is 1508915588. 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 Charles Douglas Vandyck?
The Charles Douglas Vandyck is situated at 2601 16Th Ave S, in the city of Great Falls, state of MT, with the zip code 594055202.
What is Charles Douglas Vandyck's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Charles Douglas Vandyck is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.
On what date was the 1508915588 assigned to Charles Douglas Vandyck?
The Charles Douglas Vandyck was issued its 1508915588 on 2007-01-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Charles Douglas Vandyck, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charles Douglas Vandyck, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.