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.
Address 1509 W 4th St, Coffeyville, Kansas
Phone Number 6202510606
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Blaich Gary
Credentials D.D.S.
Telephone Number 6202510604

NPI Number Detail

NPI Number 1619191251
Provider Enumeration Date 2007-04-13
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1509 W 4th St
City Coffeyville
State Kansas (KS)
Post Code 673373307
Phone Number 6202510606
Fax Number

Provider's Primary Taxonomy Detail

Speciality Preferred Provider Organization
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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FAQs about Gary Blaich D.D.S., P.A.

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.

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