Lyly E Rodriguez is a Dentist in New Haven, Connecticut. Lyly E Rodriguez practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lyly E Rodriguez is 1255590170. The last update date is 2012-01-25.
Lyly E Rodriguez's current location address is 400 Columbus Ave, New Haven, Connecticut. You can contact this provider via phone number 2035033250 and fax number 2035033254. The mailing address for Lyly E Rodriguez is 400 Columbus Ave, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lyly E Rodriguez |
|---|---|
| Address | 400 Columbus Ave, New Haven, Connecticut |
| Phone Number | 2035033250 |
| Fax Number | 2035033254 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1255590170 |
|---|---|
| Provider Enumeration Date | 2008-06-05 |
| Last Updated Date | 2012-01-25 |
Provider Mailing Address Detail
| Address | 400 Columbus Ave |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65191233 |
| Phone Number | 2035033250 |
| Fax Number | 2035033254 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 10362 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4235893 | CT | -- |
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What is the unique 10-digit identifier code issued to Lyly E Rodriguez by the Centers for Medicare & Medicaid Services?
The Lyly E Rodriguez has been assigned the NPI (National Provider Identifier) 1255590170 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Lyly E Rodriguez's facilities are geographically located?
The facilities of Lyly E Rodriguez are physically situated at the following location: 400 Columbus Ave, New Haven, CT, 65191233.
What is Lyly E Rodriguez's area of expertise and its corresponding taxonomy classification?
The Lyly E Rodriguez's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Lyly E Rodriguez receive its 1255590170 assignment from the Centers for Medicare & Medicaid Services?
The Lyly E Rodriguez was assigned its 1255590170 by the Centers for Medicare & Medicaid Services on 2008-06-05.
As of what date were the details related to Lyly E Rodriguez most recently updated or revised?
The information pertaining to Lyly E Rodriguez, including its address, specialty, and other relevant details, was last updated or revised on 2012-01-25.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL