Paul Allen Luttrell in Coronado - Dentist
Paul Allen Luttrell - NPI 1790824621
Paul Allen Luttrell is a Dentist in Coronado, California. Paul Allen Luttrell practices all healthcare services and medical treatments related to Dentist. The NPI Number for Paul Allen Luttrell is 1790824621. The last update date is 2007-07-08.
Paul Allen Luttrell's current location address is 367 F Ave, Coronado, California. You can contact this provider via phone number 6198652624 and fax number 6194377157. The mailing address for Paul Allen Luttrell is 367 F Ave, Coronado, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Allen Luttrell |
|---|---|
| Address | 367 F Ave, Coronado, California |
| Phone Number | 6198652624 |
| Fax Number | 6194377157 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1790824621 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 367 F Ave |
|---|---|
| City | Coronado |
| State | California (CA) |
| Post Code | 921181230 |
| Phone Number | 6198652624 |
| Fax Number | 6194377157 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 35640 |
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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 |
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What is the unique provider identifier assigned to Paul Allen Luttrell?
The Paul Allen Luttrell has been issued the NPI (National Provider Identifier) 1790824621 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Paul Allen Luttrell's facilities are geographically located?
The facilities of Paul Allen Luttrell are physically situated at the following location: 367 F Ave, Coronado, CA, 921181230.
What is Paul Allen Luttrell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Paul Allen Luttrell is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Paul Allen Luttrell receive its 1790824621 assignment from the Centers for Medicare & Medicaid Services?
The Paul Allen Luttrell was assigned its 1790824621 by the Centers for Medicare & Medicaid Services on 2007-02-06.
As of what date were the details related to Paul Allen Luttrell most recently updated or revised?
The information pertaining to Paul Allen Luttrell, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.