Stephen Thaddeus Connelly in San Francisco - Oral And Maxillofacial Surgery
Stephen Thaddeus Connelly - NPI 1720201692
Stephen Thaddeus Connelly is a Oral And Maxillofacial Surgery in San Francisco, California. Stephen Thaddeus Connelly practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Stephen Thaddeus Connelly is 1720201692. The last update date is 2012-04-18.
Stephen Thaddeus Connelly's current location address is 4150 Clement St, San Francisco, California. You can contact this provider via phone number 4154768999. The mailing address for Stephen Thaddeus Connelly is 4150 Clement St, San Francisco, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Thaddeus Connelly |
|---|---|
| Address | 4150 Clement St, San Francisco, California |
| Phone Number | 4154768999 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D.,D.D.S |
NPI Number Detail
| NPI Number | 1720201692 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2012-04-18 |
Provider Mailing Address Detail
| Address | 4150 Clement St |
|---|---|
| City | San Francisco |
| State | California (CA) |
| Post Code | 941211545 |
| Phone Number | 4154768999 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | A95042 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the unique identifier code issued to Stephen Thaddeus Connelly by the Centers for Medicare & Medicaid Services?
The Stephen Thaddeus Connelly has been assigned the NPI (National Provider Identifier) 1720201692. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Stephen Thaddeus Connelly?
The Stephen Thaddeus Connelly is situated at 4150 Clement St, in the city of San Francisco, state of CA, with the zip code 941211545.
What is Stephen Thaddeus Connelly's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stephen Thaddeus Connelly is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720201692 to Stephen Thaddeus Connelly?
The Stephen Thaddeus Connelly received its 1720201692 assignment from the Centers for Medicare & Medicaid Services on 2007-04-10.
When was the Stephen Thaddeus Connelly's information last updated?
The Stephen Thaddeus Connelly's information was last updated on 2012-04-18.