Therese A Gonzales in Brush - Dental Hygienist

Therese A Gonzales - NPI 1366543639

Therese A Gonzales is a Dental Hygienist in Brush, Colorado. Therese A Gonzales practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Therese A Gonzales is 1366543639. The last update date is 2018-11-07.

Therese A Gonzales's current location address is Po Box 563, Brush, Colorado. You can contact this provider via phone number 9708420220 and fax number 9708420224. The mailing address for Therese A Gonzales is Po Box 563, Brush, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Therese A Gonzales
Address Po Box 563, Brush, Colorado
Phone Number 9708420220
Fax Number 9708420224
Sole Proprietor N
Credentials RDH

NPI Number Detail

NPI Number 1366543639
Provider Enumeration Date 2006-09-26
Last Updated Date 2018-11-07

Provider Mailing Address Detail

Address Po Box 563
City Brush
State Colorado (CO)
Post Code 80723
Phone Number 9708420220
Fax Number 9708420224

Provider's Primary Taxonomy Detail

Speciality Dental Hygienist
Taxonomy 124Q00000X
Licence No 904552
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1335537 CO --

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FAQs about Therese A Gonzales

What is the unique 10-digit identifier code assigned to Therese A Gonzales by the Centers for Medicare & Medicaid Services?

The Therese A Gonzales has been issued the NPI (National Provider Identifier) 1366543639 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Therese A Gonzales is physically located?

The Therese A Gonzales is situated at the following address: Po Box 563, Brush, CO 80723.

What is Therese A Gonzales's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Therese A Gonzales is Dental Hygienist, and the taxonomy classification code that categorizes this area of expertise is 124Q00000X.

On what date did the Therese A Gonzales receive the assignment of its 1366543639 from the Centers for Medicare & Medicaid Services?

The Therese A Gonzales was issued its 1366543639 by the Centers for Medicare & Medicaid Services on 2006-09-26.

As of what date were the details pertaining to Therese A Gonzales last refreshed?

The information related to the Therese A Gonzales, including its address, specialty, and other relevant details, was last updated on 2018-11-07.

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