Evan M Dentes in Liverpool - Surgery

Evan M Dentes - NPI 1710969910

Evan M Dentes is a Surgery in Liverpool, New York. Evan M Dentes practices all healthcare services and medical treatments related to Surgery. The NPI Number for Evan M Dentes is 1710969910. The last update date is 2011-08-04.

Evan M Dentes's current location address is 5100 W Taft Rd, Liverpool, New York. You can contact this provider via phone number 3154577290. The mailing address for Evan M Dentes is 5100 W Taft Rd, Liverpool, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Evan M Dentes
Address 5100 W Taft Rd, Liverpool, New York
Phone Number 3154577290
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1710969910
Provider Enumeration Date 2005-11-15
Last Updated Date 2011-08-04

Provider Mailing Address Detail

Address 5100 W Taft Rd
City Liverpool
State New York (NY)
Post Code 130883807
Phone Number 3154577290
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 131699-1
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
J100044072 NY MEDICARE PTAN
563497 NY --
161207919 NY TAX IDENTIFICATION NUMBER

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FAQs about Evan M Dentes

What is the unique 10-digit identifier code issued to Evan M Dentes by the Centers for Medicare & Medicaid Services?

The Evan M Dentes has been assigned the NPI (National Provider Identifier) 1710969910 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Evan M Dentes is physically located?

The Evan M Dentes is situated at the following address: 5100 W Taft Rd, Liverpool, NY 130883807.

What is Evan M Dentes's specialized field of practice, and what is the corresponding taxonomy classification code?

The Evan M Dentes's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.

On what date was the 1710969910 assigned to Evan M Dentes?

The Evan M Dentes was issued its 1710969910 on 2005-11-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Evan M Dentes, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Evan M Dentes, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-08-04.

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