Brendan Matthew Lane in Peterson Afb - Dentist
Brendan Matthew Lane - NPI 1003800970
Brendan Matthew Lane is a Dentist in Peterson Afb, Colorado. Brendan Matthew Lane practices all healthcare services and medical treatments related to Dentist. The NPI Number for Brendan Matthew Lane is 1003800970. The last update date is 2022-07-15.
Brendan Matthew Lane's current location address is 559 Vincent St, Peterson Afb, Colorado. You can contact this provider via phone number 7195565898. The mailing address for Brendan Matthew Lane is 559 Vincent St, Peterson Afb, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brendan Matthew Lane |
|---|---|
| Address | 559 Vincent St, Peterson Afb, Colorado |
| Phone Number | 7195565898 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1003800970 |
|---|---|
| Provider Enumeration Date | 2005-09-07 |
| Last Updated Date | 2022-07-15 |
Provider Mailing Address Detail
| Address | 559 Vincent St |
|---|---|
| City | Peterson Afb |
| State | Colorado (CO) |
| Post Code | 809141541 |
| Phone Number | 7195565898 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 52483 |
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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 10-digit identifier code issued to Brendan Matthew Lane by the Centers for Medicare & Medicaid Services?
The Brendan Matthew Lane has been assigned the NPI (National Provider Identifier) 1003800970 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Brendan Matthew Lane located?
The Brendan Matthew Lane is located at 559 Vincent St, Peterson Afb, CO 809141541.
What is the Brendan Matthew Lane's specialty and taxonomy code?
The Brendan Matthew Lane's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did Brendan Matthew Lane receive its 1003800970 assignment from the Centers for Medicare & Medicaid Services?
The Brendan Matthew Lane was assigned its 1003800970 on 2005-09-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Brendan Matthew Lane's details last updated?
The information pertaining to the Brendan Matthew Lane, including its address, specialty, and other details, was most recently updated on 2022-07-15.