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 |
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Address | Po Box 563, Brush, Colorado |
Phone Number | 9708420220 |
Fax Number | 9708420224 |
Sole Proprietor | N |
Credentials | RDH |
NPI Number Detail
NPI Number | 1366543639 |
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Provider Enumeration Date | 2006-09-26 |
Last Updated Date | 2018-11-07 |
Provider Mailing Address Detail
Address | Po Box 563 |
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City | Brush |
State | Colorado (CO) |
Post Code | 80723 |
Phone Number | 9708420220 |
Fax Number | 9708420224 |
Provider's Primary Taxonomy Detail
Speciality | Dental Hygienist |
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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 | -- |
Post Comment/ Review Below
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.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH