John Paul Malan in Nampa - Oral And Maxillofacial Surgery
John Paul Malan - NPI 1093907610
John Paul Malan is a Oral And Maxillofacial Surgery in Nampa, Idaho. John Paul Malan practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for John Paul Malan is 1093907610. The last update date is 2023-01-04.
John Paul Malan's current location address is 339 W Iowa Ave, Nampa, Idaho. You can contact this provider via phone number 2085051946 and fax number 2085051918. The mailing address for John Paul Malan is 339 W Iowa Ave, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Paul Malan |
|---|---|
| Address | 339 W Iowa Ave, Nampa, Idaho |
| Phone Number | 2085051946 |
| Fax Number | 2085051918 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1093907610 |
|---|---|
| Provider Enumeration Date | 2007-08-16 |
| Last Updated Date | 2023-01-04 |
Provider Mailing Address Detail
| Address | 339 W Iowa Ave |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 836862856 |
| Phone Number | 2085051946 |
| Fax Number | 2085051918 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D4557OS |
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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 John Paul Malan by the Centers for Medicare & Medicaid Services?
The John Paul Malan has been assigned the NPI (National Provider Identifier) 1093907610. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John Paul Malan's physical address?
The John Paul Malan is physically located at 339 W Iowa Ave, in the city of Nampa, ID, with the postal code 836862856.
What is John Paul Malan's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Paul Malan's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1093907610 to John Paul Malan?
The John Paul Malan received its 1093907610 assignment from the Centers for Medicare & Medicaid Services on 2007-08-16.
When was the John Paul Malan's information last updated?
The John Paul Malan's information was last updated on 2023-01-04.