John D Light in Lake Worth - Dentist

John D Light - NPI 1376749317

John D Light is a Dentist in Lake Worth, Florida. John D Light practices all healthcare services and medical treatments related to Dentist. The NPI Number for John D Light is 1376749317. The last update date is 2007-07-08.

John D Light's current location address is 3015 Congress Ave, Lake Worth, Florida. You can contact this provider via phone number 5619659345 and fax number 5619651774. The mailing address for John D Light is 3015 Congress Ave, Lake Worth, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name John D Light
Address 3015 Congress Ave, Lake Worth, Florida
Phone Number 5619659345
Fax Number 5619651774
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1376749317
Provider Enumeration Date 2007-06-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3015 Congress Ave
City Lake Worth
State Florida (FL)
Post Code 334612111
Phone Number 5619659345
Fax Number 5619651774

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No FL8418
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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FAQs about John D Light

What is the unique identifier code issued to John D Light by the Centers for Medicare & Medicaid Services?

The John D Light has been assigned the NPI (National Provider Identifier) 1376749317. 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 share the complete physical address where John D Light is geographically located?

The John D Light is physically situated at the following location: 3015 Congress Ave, Lake Worth, FL, 334612111.

What is John D Light'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 John D Light is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.

On what date did the John D Light receive its 1376749317 assignment from the Centers for Medicare & Medicaid Services?

The John D Light was assigned its 1376749317 by the Centers for Medicare & Medicaid Services on 2007-06-26.

As of what date was the information pertaining to John D Light, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to John D Light, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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