Kathrine Wallace in Centerville - Dental Hygienist
Kathrine Wallace - NPI 1093740250
Kathrine Wallace is a Dental Hygienist in Centerville, Utah. Kathrine Wallace practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Kathrine Wallace is 1093740250. The last update date is 2007-07-08.
Kathrine Wallace's current location address is 281 S Main St, Centerville, Utah. You can contact this provider via phone number 8012920733 and fax number 8012985336. The mailing address for Kathrine Wallace is 281 S Main St, Centerville, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathrine Wallace |
|---|---|
| Address | 281 S Main St, Centerville, Utah |
| Phone Number | 8012920733 |
| Fax Number | 8012985336 |
| Sole Proprietor | N |
| Credentials | R.D.H. |
NPI Number Detail
| NPI Number | 1093740250 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 281 S Main St |
|---|---|
| City | Centerville |
| State | Utah (UT) |
| Post Code | 840142292 |
| Phone Number | 8012920733 |
| Fax Number | 8012985336 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | 1082790701 |
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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 Kathrine Wallace by the Centers for Medicare & Medicaid Services?
The Kathrine Wallace has been assigned the NPI (National Provider Identifier) 1093740250 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Kathrine Wallace's physical address?
The Kathrine Wallace is physically located at 281 S Main St, in the city of Centerville, UT, with the postal code 840142292.
What is Kathrine Wallace's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kathrine Wallace is Dental Hygienist, and the corresponding taxonomy classification code for this specialized field is 124Q00000X.
When did the Kathrine Wallace receive its 1093740250?
The Kathrine Wallace was issued its 1093740250 on 2006-07-12, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Kathrine Wallace most recently updated or revised?
The details related to Kathrine Wallace, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.