Gary Blaich D.D.S., P.A. in Coffeyville - Preferred Provider Organization
Gary Blaich D.D.S., P.A. - NPI 1619191251
Gary Blaich D.D.S., P.A. is a Preferred Provider Organization in Coffeyville, Kansas. Gary Blaich D.D.S., P.A. practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Gary Blaich D.D.S., P.A. is 1619191251. The last update date is 2020-08-22.
Gary Blaich D.D.S., P.A.'s current location address is 1509 W 4th St, Coffeyville, Kansas. You can contact this provider via phone number 6202510606. The mailing address for Gary Blaich D.D.S., P.A. is 1509 W 4th St, Coffeyville, Kansas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Gary Blaich D.D.S., P.A. |
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Address | 1509 W 4th St, Coffeyville, Kansas |
Phone Number | 6202510606 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Blaich Gary |
Credentials | D.D.S. |
Telephone Number | 6202510604 |
NPI Number Detail
NPI Number | 1619191251 |
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Provider Enumeration Date | 2007-04-13 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1509 W 4th St |
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City | Coffeyville |
State | Kansas (KS) |
Post Code | 673373307 |
Phone Number | 6202510606 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Preferred Provider Organization |
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Taxonomy | 305R00000X |
Licence No | 6743 |
Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
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What is the unique 10-digit identifier code issued to Gary Blaich D.D.S., P.A. by the Centers for Medicare & Medicaid Services?
The Gary Blaich D.D.S., P.A. has been assigned the NPI (National Provider Identifier) 1619191251 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Gary Blaich D.D.S., P.A.'s physical address?
The Gary Blaich D.D.S., P.A. is physically located at 1509 W 4Th St, in the city of Coffeyville, KS, with the postal code 673373307.
What is the area of specialization for Gary Blaich D.D.S., P.A., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gary Blaich D.D.S., P.A. is Preferred Provider Organization, and the corresponding taxonomy code that categorizes this area of expertise is 305R00000X.
When did Gary Blaich D.D.S., P.A. receive its 1619191251 assignment?
The Gary Blaich D.D.S., P.A. was assigned its 1619191251 on 2007-04-13, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Gary Blaich D.D.S., P.A. last refreshed?
The information related to the Gary Blaich D.D.S., P.A., including its address, specialty, and other relevant details, was last updated on 2020-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY