Rivergate Dental Group in Goodlettsville - Exclusive Provider Organization
Rivergate Dental Group - NPI 1861664898
Rivergate Dental Group is a Exclusive Provider Organization in Goodlettsville, Tennessee. Rivergate Dental Group practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Rivergate Dental Group is 1861664898. The last update date is 2008-03-31.
Rivergate Dental Group's current location address is Po Box 589, Goodlettsville, Tennessee. You can contact this provider via phone number 6158511777 and fax number 6158510877. The mailing address for Rivergate Dental Group is Po Box 589, Goodlettsville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Rivergate Dental Group |
|---|---|
| Address | Po Box 589, Goodlettsville, Tennessee |
| Phone Number | 6158511777 |
| Fax Number | 6158510877 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Frazier Vincent Roderick |
| Credentials | DDS |
| Telephone Number | 6158511777 |
NPI Number Detail
| NPI Number | 1861664898 |
|---|---|
| Provider Enumeration Date | 2008-03-31 |
| Last Updated Date | 2008-03-31 |
Provider Mailing Address Detail
| Address | Po Box 589 |
|---|---|
| City | Goodlettsville |
| State | Tennessee (TN) |
| Post Code | 370700589 |
| Phone Number | 6158511777 |
| Fax Number | 6158510877 |
Provider's Primary Taxonomy Detail
| Speciality | Exclusive Provider Organization |
|---|---|
| Taxonomy | 302F00000X |
| Licence No | DS005013 |
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Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
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What is the unique 10-digit identifier code issued to Rivergate Dental Group by the Centers for Medicare & Medicaid Services?
The Rivergate Dental Group has been assigned the NPI (National Provider Identifier) 1861664898 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 physical address where Rivergate Dental Group is located?
The Rivergate Dental Group is situated at the following address: Po Box 589, Goodlettsville, TN, 370700589.
What is Rivergate Dental Group's specialized field of practice, and what is the corresponding taxonomy classification code?
The Rivergate Dental Group's area of specialization is Exclusive Provider Organization, and the corresponding taxonomy code that categorizes this field of practice is 302F00000X.
On what date did the Rivergate Dental Group receive the assignment of its 1861664898 from the Centers for Medicare & Medicaid Services?
The Rivergate Dental Group was issued its 1861664898 by the Centers for Medicare & Medicaid Services on 2008-03-31.
When was the Rivergate Dental Group's information last updated?
The Rivergate Dental Group's information was last updated on 2008-03-31.
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