Russell C. Pool, Dmd, Pa in Nampa - Dental
Russell C. Pool, Dmd, Pa - NPI 1093977647
Russell C. Pool, Dmd, Pa is a Dental in Nampa, Idaho. Russell C. Pool, Dmd, Pa practices all healthcare services and medical treatments related to Dental. The NPI Number for Russell C. Pool, Dmd, Pa is 1093977647. The last update date is 2008-06-25.
Russell C. Pool, Dmd, Pa's current location address is 109 12th Ave Rd, Nampa, Idaho. You can contact this provider via phone number 2084672545 and fax number 2084663607. The mailing address for Russell C. Pool, Dmd, Pa is 109 12th Ave Rd, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Russell C. Pool, Dmd, Pa |
|---|---|
| Address | 109 12th Ave Rd, Nampa, Idaho |
| Phone Number | 2084672545 |
| Fax Number | 2084663607 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pool C. Russell |
| Credentials | DMD |
| Telephone Number | 2084672545 |
NPI Number Detail
| NPI Number | 1093977647 |
|---|---|
| Provider Enumeration Date | 2008-06-25 |
| Last Updated Date | 2008-06-25 |
Provider Mailing Address Detail
| Address | 109 12th Ave Rd |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 836865047 |
| Phone Number | 2084672545 |
| Fax Number | 2084663607 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | D1687 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 66852 | ID | BLUE SHIELD OF IDAHO |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Russell C. Pool, Dmd, Pa by the Centers for Medicare & Medicaid Services?
The Russell C. Pool, Dmd, Pa has been assigned the NPI (National Provider Identifier) 1093977647 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 Russell C. Pool, Dmd, Pa is physically located?
The Russell C. Pool, Dmd, Pa is situated at the following address: 109 12Th Ave Rd, Nampa, ID 836865047.
What is Russell C. Pool, Dmd, Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Russell C. Pool, Dmd, Pa is Dental, and the taxonomy code that classifies this field of practice is 261Qd0000X.
When was the Russell C. Pool, Dmd, Pa's 1093977647 issued?
The Russell C. Pool, Dmd, Pa's 1093977647 was issued on 2008-06-25.
When was the information regarding Russell C. Pool, Dmd, Pa most recently updated?
The details pertaining to the Russell C. Pool, Dmd, Pa, including its address, specialty, and other relevant information, were last refreshed on 2008-06-25.
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