Jerry Stanley Redd in Lafayette - Orthodontics And Dentofacial Orthopedics
Jerry Stanley Redd - NPI 1740313881
Jerry Stanley Redd is a Orthodontics And Dentofacial Orthopedics in Lafayette, California. Jerry Stanley Redd practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jerry Stanley Redd is 1740313881. The last update date is 2007-07-08.
Jerry Stanley Redd's current location address is 3470 La Caminita, Lafayette, California. You can contact this provider via phone number 9252833242 and fax number 9252847457. The mailing address for Jerry Stanley Redd is 3470 La Caminita, Lafayette, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Stanley Redd |
|---|---|
| Address | 3470 La Caminita, Lafayette, California |
| Phone Number | 9252833242 |
| Fax Number | 9252847457 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1740313881 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3470 La Caminita |
|---|---|
| City | Lafayette |
| State | California (CA) |
| Post Code | 945492312 |
| Phone Number | 9252833242 |
| Fax Number | 9252847457 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 23236 |
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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 |
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Post Comment/ Review Below
What is the unique identifier code issued to Jerry Stanley Redd by the Centers for Medicare & Medicaid Services?
The Jerry Stanley Redd has been assigned the NPI (National Provider Identifier) 1740313881. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jerry Stanley Redd is physically located?
The Jerry Stanley Redd is situated at the following address: 3470 La Caminita, Lafayette, CA 945492312.
What is the Jerry Stanley Redd's area of specialization and corresponding taxonomy classification?
The Jerry Stanley Redd's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1740313881 to Jerry Stanley Redd?
The Centers for Medicare & Medicaid Services assigned the 1740313881 to Jerry Stanley Redd on 2007-03-14.
When was the information regarding Jerry Stanley Redd most recently updated?
The details pertaining to the Jerry Stanley Redd, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.