Lisa Ely Wadsworth in Lady Lake - Dentist
Lisa Ely Wadsworth - NPI 1508070707
Lisa Ely Wadsworth is a Dentist in Lady Lake, Florida. Lisa Ely Wadsworth practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lisa Ely Wadsworth is 1508070707. The last update date is 2007-07-08.
Lisa Ely Wadsworth's current location address is 13940 N Us Highway 441, Lady Lake, Florida. You can contact this provider via phone number 3527500008 and fax number 3522599145. The mailing address for Lisa Ely Wadsworth is 13940 N Us Highway 441, Lady Lake, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Ely Wadsworth |
|---|---|
| Address | 13940 N Us Highway 441, Lady Lake, Florida |
| Phone Number | 3527500008 |
| Fax Number | 3522599145 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1508070707 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13940 N Us Highway 441 |
|---|---|
| City | Lady Lake |
| State | Florida (FL) |
| Post Code | 321598908 |
| Phone Number | 3527500008 |
| Fax Number | 3522599145 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 13864 |
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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 Lisa Ely Wadsworth's unique identification number?
The Lisa Ely Wadsworth has been assigned the NPI (National Provider Identifier) Number 1508070707 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Lisa Ely Wadsworth's facilities are geographically located?
The facilities of Lisa Ely Wadsworth are physically situated at the following location: 13940 N Us Highway 441, Lady Lake, FL, 321598908.
What is the area of specialization for Lisa Ely Wadsworth, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lisa Ely Wadsworth is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
When was the Lisa Ely Wadsworth's 1508070707 issued?
The Lisa Ely Wadsworth's 1508070707 was issued on 2007-05-09.
As of what date were the details related to Lisa Ely Wadsworth most recently updated or revised?
The information pertaining to Lisa Ely Wadsworth, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.