Blaine Rodney Couser in Mesa - Orthodontics And Dentofacial Orthopedics
Blaine Rodney Couser - NPI 1417077918
Blaine Rodney Couser is a Orthodontics And Dentofacial Orthopedics in Mesa, Arizona. Blaine Rodney Couser practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Blaine Rodney Couser is 1417077918. The last update date is 2007-07-08.
Blaine Rodney Couser's current location address is 4540 E Baseline Rd, Mesa, Arizona. You can contact this provider via phone number 4808132222 and fax number 4809077619. The mailing address for Blaine Rodney Couser is 4540 E Baseline Rd, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Blaine Rodney Couser |
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Address | 4540 E Baseline Rd, Mesa, Arizona |
Phone Number | 4808132222 |
Fax Number | 4809077619 |
Sole Proprietor | Y |
Credentials | DDS, MS |
NPI Number Detail
NPI Number | 1417077918 |
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Provider Enumeration Date | 2007-03-29 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4540 E Baseline Rd |
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City | Mesa |
State | Arizona (AZ) |
Post Code | 852064613 |
Phone Number | 4808132222 |
Fax Number | 4809077619 |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | 6257 |
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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963943 | AZ | AHCCCS PROGRAM NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Blaine Rodney Couser by the Centers for Medicare & Medicaid Services?
The Blaine Rodney Couser has been issued the NPI (National Provider Identifier) 1417077918, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Blaine Rodney Couser is geographically located?
The Blaine Rodney Couser is physically situated at the following location: 4540 E Baseline Rd, Mesa, AZ, 852064613.
What is Blaine Rodney Couser's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Blaine Rodney Couser is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.
On what date was the 1417077918 assigned to Blaine Rodney Couser?
The Blaine Rodney Couser was issued its 1417077918 on 2007-03-29, 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 details pertaining to Blaine Rodney Couser last refreshed?
The information related to the Blaine Rodney Couser, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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