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Dr. Jeremy Howard Diehl, DDS,MSD
Periodontist in Vancouver, Washington
NPI 1023248291

Jeremy Howard Diehl is a Periodontist based in Vancouver, WA and is specialized in Periodontics. Jeremy Howard Diehl practices in Vancouver, WA and has the professional credentials of DDS,MSD. The NPI Number for Jeremy Howard Diehl is 1023248291 and holds a License No. DE60083669 (Washington).

The current practice location address for Jeremy Howard Diehl is 2702 Ne 78Th St, Vancouver, WA and can be reached out via phone at 360-693-1200 and via fax at 360-693-2001.

Location: 2702 Ne 78Th St, Vancouver, WA, 98665-0665
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023248291
Provider Name
Jeremy Howard Diehl
Credential
DDS,MSD
Provider Entity Type
Individual
Gender
Male
Address
2702 Ne 78Th St, Vancouver, WA, 98665-0665
Phone Number
360-693-1200
Fax Number
360-693-2001
Provider Enumeration Date
07/21/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1346478906 01 WA NATIONAL PROVIDER IDENTIFICATION NUMBER TYPE 2
institution
Provider Business Practice Location Address Details
Address
2702 Ne 78Th St
City
Vancouver
State
Washington
Zip
98665-0665
Phone Number
360-693-1200
Fax Number
360-693-2001
person
Provider Business Mailing Address Details
Address
2702 Ne 78Th St
City
Vancouver
State
Washington
Zip
98665-0665
Phone Number
360-693-1200
Fax Number
360-693-2001
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
DE60083669 (Washington)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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