Tim R Avedovech is a Prosthodontics in Mesa, Arizona. Tim R Avedovech practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Tim R Avedovech is 1225182090. The last update date is 2011-11-04.
Tim R Avedovech's current location address is 2126 E Enid Ave, Mesa, Arizona. You can contact this provider via phone number 6023212414 and fax number 4804975162. The mailing address for Tim R Avedovech is 2126 E Enid Ave, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tim R Avedovech |
|---|---|
| Address | 2126 E Enid Ave, Mesa, Arizona |
| Phone Number | 6023212414 |
| Fax Number | 4804975162 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1225182090 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2011-11-04 |
Provider Mailing Address Detail
| Address | 2126 E Enid Ave |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852044512 |
| Phone Number | 6023212414 |
| Fax Number | 4804975162 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 1598 |
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Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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Post Comment/ Review Below
What is the Tim R Avedovech's 1225182090?
The Tim R Avedovech's NPI (National Provider Identifier) Number is 1225182090. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Tim R Avedovech is physically located?
The Tim R Avedovech is situated at the following address: 2126 E Enid Ave, Mesa, AZ 852044512.
What is Tim R Avedovech's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tim R Avedovech is Prosthodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0700X.
On what date did Tim R Avedovech receive its 1225182090 assignment from the Centers for Medicare & Medicaid Services?
The Tim R Avedovech was assigned its 1225182090 on 2007-01-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Tim R Avedovech's information last updated?
The Tim R Avedovech's information was last updated on 2011-11-04.