Ronald Lynn Champion in Modesto - Orthodontics And Dentofacial Orthopedics
Ronald Lynn Champion - NPI 1104044312
Ronald Lynn Champion is a Orthodontics And Dentofacial Orthopedics in Modesto, California. Ronald Lynn Champion practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Ronald Lynn Champion is 1104044312. The last update date is 2007-07-08.
Ronald Lynn Champion's current location address is 4101 Tully Rd Ste 401, Modesto, California. You can contact this provider via phone number 2095755888 and fax number 2095755898. The mailing address for Ronald Lynn Champion is 4101 Tully Rd Ste 401, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Lynn Champion |
|---|---|
| Address | 4101 Tully Rd Ste 401, Modesto, California |
| Phone Number | 2095755888 |
| Fax Number | 2095755898 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1104044312 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4101 Tully Rd Ste 401 |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953568982 |
| Phone Number | 2095755888 |
| Fax Number | 2095755898 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 23489 |
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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 identification code assigned to Ronald Lynn Champion by the Centers for Medicare & Medicaid Services?
The Ronald Lynn Champion has been issued the NPI (National Provider Identifier) 1104044312. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Ronald Lynn Champion is located?
The Ronald Lynn Champion is situated at the following address: 4101 Tully Rd Ste 401, Modesto, CA, 953568982.
What is Ronald Lynn Champion's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ronald Lynn Champion is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.
On what date did Ronald Lynn Champion receive its 1104044312 assignment from the Centers for Medicare & Medicaid Services?
The Ronald Lynn Champion was assigned its 1104044312 on 2007-04-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Ronald Lynn Champion most recently updated or revised?
The details related to Ronald Lynn Champion, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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