Makoto Saigusa in Tyler - Oral And Maxillofacial Surgery
Makoto Saigusa - NPI 1417067497
Makoto Saigusa is a Oral And Maxillofacial Surgery in Tyler, Texas. Makoto Saigusa practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Makoto Saigusa is 1417067497. The last update date is 2023-02-23.
Makoto Saigusa's current location address is 805 Turtle Creek Dr, Tyler, Texas. You can contact this provider via phone number 9035921664 and fax number 9035926595. The mailing address for Makoto Saigusa is 805 Turtle Creek Dr, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Makoto Saigusa |
|---|---|
| Address | 805 Turtle Creek Dr, Tyler, Texas |
| Phone Number | 9035921664 |
| Fax Number | 9035926595 |
| Sole Proprietor | N |
| Credentials | D.M.D, M.D |
NPI Number Detail
| NPI Number | 1417067497 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2023-02-23 |
Provider Mailing Address Detail
| Address | 805 Turtle Creek Dr |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757011937 |
| Phone Number | 9035921664 |
| Fax Number | 9035926595 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 19097 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 90187801 | TX | -- | |
| 90187803 | TX | -- | |
| 133237107 | TX | CSHCN | |
| 90187802 | TX | -- | |
| 90187804 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Makoto Saigusa?
The Makoto Saigusa has been issued the NPI (National Provider Identifier) 1417067497 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
What is Makoto Saigusa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Makoto Saigusa is Oral And Maxillofacial Surgery, and the taxonomy code that classifies this field of practice is 1223S0112X.
When did Makoto Saigusa receive its 1417067497 assignment?
The Makoto Saigusa was assigned its 1417067497 on 2006-08-30, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417067497 to Makoto Saigusa?
The Centers for Medicare & Medicaid Services originally issued the 1417067497 to Makoto Saigusa on 2006-08-30.
When was the information regarding Makoto Saigusa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Makoto Saigusa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-02-23.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY