Derrick S Tooth is a Urology in Manchester, Maine. Derrick S Tooth practices all healthcare services and medical treatments related to Urology. The NPI Number for Derrick S Tooth is 1639260847. The last update date is 2012-12-05.
Derrick S Tooth's current location address is 1053 Western Ave, Manchester, Maine. You can contact this provider via phone number 2076226319 and fax number 2076226654. The mailing address for Derrick S Tooth is 1053 Western Ave, Manchester, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derrick S Tooth |
|---|---|
| Address | 1053 Western Ave, Manchester, Maine |
| Phone Number | 2076226319 |
| Fax Number | 2076226654 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1639260847 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2012-12-05 |
Provider Mailing Address Detail
| Address | 1053 Western Ave |
|---|---|
| City | Manchester |
| State | Maine (ME) |
| Post Code | 43513403 |
| Phone Number | 2076226319 |
| Fax Number | 2076226654 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 14663 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 255890099 | ME | -- | |
| 30440 | ME | ANTHEM | |
| 1041053 | AETNA |
Post Comment/ Review Below
What is the unique identification code assigned to Derrick S Tooth by the Centers for Medicare & Medicaid Services?
The Derrick S Tooth has been issued the NPI (National Provider Identifier) 1639260847. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Derrick S Tooth's physical address?
The Derrick S Tooth is physically located at 1053 Western Ave, in the city of Manchester, ME, with the postal code 43513403.
What is Derrick S Tooth'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 Derrick S Tooth is Urology, and the taxonomy classification code that categorizes this area of expertise is 208800000X.
When was the Derrick S Tooth's 1639260847 issued?
The Derrick S Tooth's 1639260847 was issued on 2006-09-27.
When was the information pertaining to Derrick S Tooth most recently updated or revised?
The details related to Derrick S Tooth, including its address, specialty, and other relevant information, were last updated or revised on 2012-12-05.
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