Anthony K Lieu is a Dentist in Rohnert Park, California. Anthony K Lieu practices all healthcare services and medical treatments related to Dentist. The NPI Number for Anthony K Lieu is 1962612622. The last update date is 2021-04-15.
Anthony K Lieu's current location address is 6230 State Farm Dr., Rohnert Park, California. You can contact this provider via phone number 7077954523 and fax number 7075861650. The mailing address for Anthony K Lieu is 6230 State Farm Dr., Rohnert Park, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony K Lieu |
|---|---|
| Address | 6230 State Farm Dr., Rohnert Park, California |
| Phone Number | 7077954523 |
| Fax Number | 7075861650 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1962612622 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2021-04-15 |
Provider Mailing Address Detail
| Address | 6230 State Farm Dr. |
|---|---|
| City | Rohnert Park |
| State | California (CA) |
| Post Code | 94928 |
| Phone Number | 7077954523 |
| Fax Number | 7075861650 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 55913 |
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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 identifier code issued to Anthony K Lieu by the Centers for Medicare & Medicaid Services?
The Anthony K Lieu has been assigned the NPI (National Provider Identifier) 1962612622. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Anthony K Lieu?
The Anthony K Lieu is physically situated at 6230 State Farm Dr., in the city of Rohnert Park, state of CA, with the postal code 94928.
What is Anthony K Lieu's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Anthony K Lieu is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date was the 1962612622 assigned to Anthony K Lieu?
The Anthony K Lieu was issued its 1962612622 on 2007-05-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Anthony K Lieu most recently updated or revised?
The information pertaining to Anthony K Lieu, including its address, specialty, and other relevant details, was last updated or revised on 2021-04-15.