Mcrae Dental Pa is a Dental in Meridian, Idaho. Mcrae Dental Pa practices all healthcare services and medical treatments related to Dental. The NPI Number for Mcrae Dental Pa is 1184884348. The last update date is 2017-10-20.
Mcrae Dental Pa's current location address is 1067 S Wells St, Meridian, Idaho. You can contact this provider via phone number 2088958486 and fax number 2088958540. The mailing address for Mcrae Dental Pa is 1067 S Wells St, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Mcrae Dental Pa |
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Address | 1067 S Wells St, Meridian, Idaho |
Phone Number | 2088958486 |
Fax Number | 2088958540 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DR |
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Authorized Official Name | Mcrae Chad Lon |
Credentials | DMD |
Telephone Number | 2088948486 |
NPI Number Detail
NPI Number | 1184884348 |
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Provider Enumeration Date | 2008-06-11 |
Last Updated Date | 2017-10-20 |
Provider Mailing Address Detail
Address | 1067 S Wells St |
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City | Meridian |
State | Idaho (ID) |
Post Code | 836427997 |
Phone Number | 2088958486 |
Fax Number | 2088958540 |
Provider's Primary Taxonomy Detail
Speciality | Dental |
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Taxonomy | 261Qd0000X |
Licence No | 000673526W |
Definition: Provides general and specialized dental care and oral surgery. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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805008600 | ID | -- |
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What is the unique identifier code issued to Mcrae Dental Pa by the Centers for Medicare & Medicaid Services?
The Mcrae Dental Pa has been assigned the NPI (National Provider Identifier) 1184884348. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mcrae Dental Pa is physically located?
The Mcrae Dental Pa is situated at the following address: 1067 S Wells St, Meridian, ID 836427997.
What is the Mcrae Dental Pa's area of specialization and corresponding taxonomy classification?
The Mcrae Dental Pa's specialty field is Dental, and it falls under the taxonomy code 261Qd0000X, which categorizes healthcare providers based on their specialties.
On what date did the Mcrae Dental Pa receive the assignment of its 1184884348 from the Centers for Medicare & Medicaid Services?
The Mcrae Dental Pa was issued its 1184884348 by the Centers for Medicare & Medicaid Services on 2008-06-11.
When was the information regarding Mcrae Dental Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mcrae Dental Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-10-20.
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