Kenneth Vanasma in Piedmont - Oral And Maxillofacial Surgery
Kenneth Vanasma - NPI 1720116866
Kenneth Vanasma is a Oral And Maxillofacial Surgery in Piedmont, South Dakota. Kenneth Vanasma practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Kenneth Vanasma is 1720116866. The last update date is 2007-07-08.
Kenneth Vanasma's current location address is 15308 Grand View Dr, Piedmont, South Dakota. You can contact this provider via phone number 6057876218. The mailing address for Kenneth Vanasma is 15308 Grand View Dr, Piedmont, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Vanasma |
|---|---|
| Address | 15308 Grand View Dr, Piedmont, South Dakota |
| Phone Number | 6057876218 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1720116866 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15308 Grand View Dr |
|---|---|
| City | Piedmont |
| State | South Dakota (SD) |
| Post Code | 577697326 |
| Phone Number | 6057876218 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | M718 |
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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 10-digit identification code assigned to Kenneth Vanasma by the Centers for Medicare & Medicaid Services?
The Kenneth Vanasma has been issued the NPI (National Provider Identifier) 1720116866, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kenneth Vanasma?
The Kenneth Vanasma is physically situated at 15308 Grand View Dr, in the city of Piedmont, state of SD, with the postal code 577697326.
What is Kenneth Vanasma's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth Vanasma'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 assign the 1720116866 to Kenneth Vanasma?
The Centers for Medicare & Medicaid Services assigned the 1720116866 to Kenneth Vanasma on 2007-03-01.
As of what date were the Kenneth Vanasma's details last updated?
The information pertaining to the Kenneth Vanasma, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC