Jeremy Shane Lansford in Suffield - Dentist
Jeremy Shane Lansford - NPI 1174577811
Jeremy Shane Lansford is a Dentist in Suffield, Connecticut. Jeremy Shane Lansford practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jeremy Shane Lansford is 1174577811. The last update date is 2009-03-31.
Jeremy Shane Lansford's current location address is 180 Marbern Dr, Suffield, Connecticut. You can contact this provider via phone number 2104555571. The mailing address for Jeremy Shane Lansford is 180 Marbern Dr, Suffield, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Shane Lansford |
|---|---|
| Address | 180 Marbern Dr, Suffield, Connecticut |
| Phone Number | 2104555571 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1174577811 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2009-03-31 |
Provider Mailing Address Detail
| Address | 180 Marbern Dr |
|---|---|
| City | Suffield |
| State | Connecticut (CT) |
| Post Code | 60781535 |
| Phone Number | 2104555571 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 9319 |
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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 Jeremy Shane Lansford's 1174577811?
The Jeremy Shane Lansford's NPI (National Provider Identifier) Number is 1174577811. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jeremy Shane Lansford?
The Jeremy Shane Lansford is situated at 180 Marbern Dr, in the city of Suffield, state of CT, with the zip code 60781535.
What is the Jeremy Shane Lansford's specialty and taxonomy code?
The Jeremy Shane Lansford's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When was the Jeremy Shane Lansford's 1174577811 issued?
The Jeremy Shane Lansford's 1174577811 was issued on 2006-05-19.
When was the information related to Jeremy Shane Lansford most recently updated or refreshed?
The details pertaining to the Jeremy Shane Lansford, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-03-31.
NPI Number: 1528061710
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