Val Russell Boudreau in Cincinnati - Oral And Maxillofacial Surgery
Val Russell Boudreau - NPI 1033209028
Val Russell Boudreau is a Oral And Maxillofacial Surgery in Cincinnati, Ohio. Val Russell Boudreau practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Val Russell Boudreau is 1033209028. The last update date is 2007-07-08.
Val Russell Boudreau's current location address is 11323 Springfield Pike, Cincinnati, Ohio. You can contact this provider via phone number 5137714080 and fax number 5133262022. The mailing address for Val Russell Boudreau is 11323 Springfield Pike, Cincinnati, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Val Russell Boudreau |
|---|---|
| Address | 11323 Springfield Pike, Cincinnati, Ohio |
| Phone Number | 5137714080 |
| Fax Number | 5133262022 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1033209028 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11323 Springfield Pike |
|---|---|
| City | Cincinnati |
| State | Ohio (OH) |
| Post Code | 452464201 |
| Phone Number | 5137714080 |
| Fax Number | 5133262022 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 20636 |
|
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 |
|---|---|---|---|
| 381324 | OH | ANTHEM MEDICAL |
Post Comment/ Review Below
What is the unique identifier code issued to Val Russell Boudreau by the Centers for Medicare & Medicaid Services (CMS)?
The Val Russell Boudreau has been assigned the NPI (National Provider Identifier) 1033209028. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Val Russell Boudreau is geographically located?
The Val Russell Boudreau is physically situated at the following location: 11323 Springfield Pike, Cincinnati, OH, 452464201.
What is Val Russell Boudreau's area of expertise and its corresponding taxonomy classification?
The Val Russell Boudreau's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1033209028 to Val Russell Boudreau?
The Centers for Medicare & Medicaid Services assigned the 1033209028 to Val Russell Boudreau on 2006-10-13.
As of what date was the information pertaining to Val Russell Boudreau, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Val Russell Boudreau, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.