Richard Jon Sundberg in Walla Walla - Oral And Maxillofacial Surgery
Richard Jon Sundberg - NPI 1124295514
Richard Jon Sundberg is a Oral And Maxillofacial Surgery in Walla Walla, Washington. Richard Jon Sundberg practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Richard Jon Sundberg is 1124295514. The last update date is 2008-05-14.
Richard Jon Sundberg's current location address is 310 S 3rd Ave, Walla Walla, Washington. You can contact this provider via phone number 5095293762 and fax number 5095297622. The mailing address for Richard Jon Sundberg is 310 S 3rd Ave, Walla Walla, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Jon Sundberg |
|---|---|
| Address | 310 S 3rd Ave, Walla Walla, Washington |
| Phone Number | 5095293762 |
| Fax Number | 5095297622 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1124295514 |
|---|---|
| Provider Enumeration Date | 2008-05-14 |
| Last Updated Date | 2008-05-14 |
Provider Mailing Address Detail
| Address | 310 S 3rd Ave |
|---|---|
| City | Walla Walla |
| State | Washington (WA) |
| Post Code | 993623037 |
| Phone Number | 5095293762 |
| Fax Number | 5095297622 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DE00004263 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Richard Jon Sundberg by the Centers for Medicare & Medicaid Services (CMS)?
The Richard Jon Sundberg has been assigned the NPI (National Provider Identifier) 1124295514. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Richard Jon Sundberg?
The Richard Jon Sundberg is physically situated at 310 S 3Rd Ave, in the city of Walla Walla, state of WA, with the postal code 993623037.
What is the Richard Jon Sundberg's area of specialization and corresponding taxonomy classification?
The Richard Jon Sundberg's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
On what date did the Richard Jon Sundberg receive its 1124295514 assignment from the Centers for Medicare & Medicaid Services?
The Richard Jon Sundberg was assigned its 1124295514 by the Centers for Medicare & Medicaid Services on 2008-05-14.
As of what date were the details related to Richard Jon Sundberg most recently updated or revised?
The information pertaining to Richard Jon Sundberg, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-14.
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