Bonnie Jean Devall in Twin Falls - Denturist
Bonnie Jean Devall - NPI 1720124324
Bonnie Jean Devall is a Denturist in Twin Falls, Idaho. Bonnie Jean Devall practices all healthcare services and medical treatments related to Denturist. The NPI Number for Bonnie Jean Devall is 1720124324. The last update date is 2007-07-08.
Bonnie Jean Devall's current location address is 507 Main Ave W Suite B, Twin Falls, Idaho. You can contact this provider via phone number 2087332374. The mailing address for Bonnie Jean Devall is 507 Main Ave W Suite B, Twin Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonnie Jean Devall |
|---|---|
| Address | 507 Main Ave W Suite B, Twin Falls, Idaho |
| Phone Number | 2087332374 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LICENSED D |
NPI Number Detail
| NPI Number | 1720124324 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 507 Main Ave W Suite B |
|---|---|
| City | Twin Falls |
| State | Idaho (ID) |
| Post Code | 83301 |
| Phone Number | 2087332374 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Denturist |
|---|---|
| Taxonomy | 122400000X |
| Licence No | LD18 |
|
Definition: A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1191300 | ID | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Bonnie Jean Devall?
The Bonnie Jean Devall has been issued the NPI (National Provider Identifier) 1720124324 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Bonnie Jean Devall located?
The Bonnie Jean Devall is located at 507 Main Ave W Suite B, Twin Falls, ID 83301.
What is the Bonnie Jean Devall's area of specialization and corresponding taxonomy classification?
The Bonnie Jean Devall's specialty field is Denturist, and it falls under the taxonomy code 122400000X, which categorizes healthcare providers based on their specialties.
When was the Bonnie Jean Devall's 1720124324 issued?
The Bonnie Jean Devall's 1720124324 was issued on 2007-01-30.
As of what date was the information pertaining to Bonnie Jean Devall, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bonnie Jean Devall, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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