Lon Patrick Spain in Cedar Grove - Dentist

Lon Patrick Spain - NPI 1891765822

Lon Patrick Spain is a Dentist in Cedar Grove, . Lon Patrick Spain practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lon Patrick Spain is 1891765822. The last update date is 2013-09-17.

Lon Patrick Spain's current location address is 408 Alexander Street, Cedar Grove, . You can contact this provider via phone number 3045951770. The mailing address for Lon Patrick Spain is 408 Alexander Street, Cedar Grove, . To know further, please read the information below!

Provider Profile Detail

Provider Name Lon Patrick Spain
Address 408 Alexander Street, Cedar Grove,
Phone Number 3045951770
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1891765822
Provider Enumeration Date 2006-01-24
Last Updated Date 2013-09-17

Provider Mailing Address Detail

Address 408 Alexander Street
City Cedar Grove
State (WV)
Post Code 25039
Phone Number 3045951770
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 3400
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7100174300 KY --
2036862 OH --
7805006000 WV --

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FAQs about Lon Patrick Spain

What is the Lon Patrick Spain's unique identification number?

The Lon Patrick Spain has been assigned the NPI (National Provider Identifier) Number 1891765822 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Lon Patrick Spain's facilities are geographically located?

The facilities of Lon Patrick Spain are physically situated at the following location: 408 Alexander Street, Cedar Grove, WV, 25039.

What is Lon Patrick Spain's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Lon Patrick Spain is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

When was the Lon Patrick Spain's 1891765822 issued?

The Lon Patrick Spain's 1891765822 was issued on 2006-01-24.

As of what date were the Lon Patrick Spain's details last updated?

The information pertaining to the Lon Patrick Spain, including its address, specialty, and other details, was most recently updated on 2013-09-17.

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