Fred Summerfelt in Flagstaff - Dental Hygienist
Fred Summerfelt - NPI 1043479108
Fred Summerfelt is a Dental Hygienist in Flagstaff, Arizona. Fred Summerfelt practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Fred Summerfelt is 1043479108. The last update date is 2008-06-04.
Fred Summerfelt's current location address is 997 E Sterling Ln, Flagstaff, Arizona. You can contact this provider via phone number 9287793623. The mailing address for Fred Summerfelt is 997 E Sterling Ln, Flagstaff, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred Summerfelt |
|---|---|
| Address | 997 E Sterling Ln, Flagstaff, Arizona |
| Phone Number | 9287793623 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RDH AP |
NPI Number Detail
| NPI Number | 1043479108 |
|---|---|
| Provider Enumeration Date | 2008-06-04 |
| Last Updated Date | 2008-06-04 |
Provider Mailing Address Detail
| Address | 997 E Sterling Ln |
|---|---|
| City | Flagstaff |
| State | Arizona (AZ) |
| Post Code | 860016572 |
| Phone Number | 9287793623 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | H4342 |
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Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
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What is the unique 10-digit identifier code issued to Fred Summerfelt by the Centers for Medicare & Medicaid Services?
The Fred Summerfelt has been assigned the NPI (National Provider Identifier) 1043479108 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Fred Summerfelt?
The Fred Summerfelt is situated at 997 E Sterling Ln, in the city of Flagstaff, state of AZ, with the zip code 860016572.
What is the area of specialization for Fred Summerfelt, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Fred Summerfelt is Dental Hygienist, and the corresponding taxonomy code that categorizes this area of expertise is 124Q00000X.
When did the Fred Summerfelt receive its 1043479108?
The Fred Summerfelt was issued its 1043479108 on 2008-06-04, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Fred Summerfelt, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Fred Summerfelt, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-04.