Phillip Dana Vickers in Rochester - Oral And Maxillofacial Surgery
Phillip Dana Vickers - NPI 1720149529
Phillip Dana Vickers is a Oral And Maxillofacial Surgery in Rochester, Minnesota. Phillip Dana Vickers practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Phillip Dana Vickers is 1720149529. The last update date is 2007-07-08.
Phillip Dana Vickers's current location address is 2717 Superior Dr Nw, Rochester, Minnesota. You can contact this provider via phone number 5072815820 and fax number 5072826543. The mailing address for Phillip Dana Vickers is 2717 Superior Dr Nw, Rochester, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip Dana Vickers |
|---|---|
| Address | 2717 Superior Dr Nw, Rochester, Minnesota |
| Phone Number | 5072815820 |
| Fax Number | 5072826543 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1720149529 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2717 Superior Dr Nw |
|---|---|
| City | Rochester |
| State | Minnesota (MN) |
| Post Code | 559011773 |
| Phone Number | 5072815820 |
| Fax Number | 5072826543 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | D10753 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 128G2VI | MN | BLUE CROSS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Phillip Dana Vickers?
The Phillip Dana Vickers has been issued the NPI (National Provider Identifier) 1720149529 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Phillip Dana Vickers's facilities are situated?
The facilities of Phillip Dana Vickers are physically located at the following address: 2717 Superior Dr Nw, Rochester, MN, 559011773.
What is Phillip Dana Vickers's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Phillip Dana Vickers is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.
On what date was the 1720149529 assigned to Phillip Dana Vickers?
The Phillip Dana Vickers was issued its 1720149529 on 2006-12-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Phillip Dana Vickers's details last updated?
The information pertaining to the Phillip Dana Vickers, including its address, specialty, and other details, was most recently updated on 2007-07-08.