Willliam Brody Longabach in Lakeland - Dentist
Willliam Brody Longabach - NPI 1891901211
Willliam Brody Longabach is a Dentist in Lakeland, Florida. Willliam Brody Longabach practices all healthcare services and medical treatments related to Dentist. The NPI Number for Willliam Brody Longabach is 1891901211. The last update date is 2023-08-03.
Willliam Brody Longabach's current location address is 1705 Skinner St, Lakeland, Florida. You can contact this provider via phone number 8636864300. The mailing address for Willliam Brody Longabach is 1705 Skinner St, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Willliam Brody Longabach |
|---|---|
| Address | 1705 Skinner St, Lakeland, Florida |
| Phone Number | 8636864300 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1891901211 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2023-08-03 |
Provider Mailing Address Detail
| Address | 1705 Skinner St |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 338015965 |
| Phone Number | 8636864300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN13730 |
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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 identifier code issued to Willliam Brody Longabach by the Centers for Medicare & Medicaid Services?
The Willliam Brody Longabach has been assigned the NPI (National Provider Identifier) 1891901211. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Willliam Brody Longabach is physically located?
The Willliam Brody Longabach is situated at the following address: 1705 Skinner St, Lakeland, FL 338015965.
What is Willliam Brody Longabach's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Willliam Brody Longabach's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Willliam Brody Longabach receive its 1891901211 assignment from the Centers for Medicare & Medicaid Services?
The Willliam Brody Longabach was assigned its 1891901211 by the Centers for Medicare & Medicaid Services on 2007-05-15.
As of what date were the details related to Willliam Brody Longabach most recently updated or revised?
The information pertaining to Willliam Brody Longabach, including its address, specialty, and other relevant details, was last updated or revised on 2023-08-03.
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