Lara Miriam Greenwald in Macclenny - Dentist
Lara Miriam Greenwald - NPI 1417126699
Lara Miriam Greenwald is a Dentist in Macclenny, Florida. Lara Miriam Greenwald practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lara Miriam Greenwald is 1417126699. The last update date is 2016-06-09.
Lara Miriam Greenwald's current location address is 7487 S State Road 121, Macclenny, Florida. You can contact this provider via phone number 9042596211 and fax number 9042597129. The mailing address for Lara Miriam Greenwald is 7487 S State Road 121, Macclenny, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lara Miriam Greenwald |
|---|---|
| Address | 7487 S State Road 121, Macclenny, Florida |
| Phone Number | 9042596211 |
| Fax Number | 9042597129 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1417126699 |
|---|---|
| Provider Enumeration Date | 2008-02-21 |
| Last Updated Date | 2016-06-09 |
Provider Mailing Address Detail
| Address | 7487 S State Road 121 |
|---|---|
| City | Macclenny |
| State | Florida (FL) |
| Post Code | 320635451 |
| Phone Number | 9042596211 |
| Fax Number | 9042597129 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN15057 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 76942800 | FL | -- |
Post Comment/ Review Below
What is the Lara Miriam Greenwald's unique identification number?
The Lara Miriam Greenwald has been assigned the NPI (National Provider Identifier) Number 1417126699 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 Lara Miriam Greenwald's facilities are geographically located?
The facilities of Lara Miriam Greenwald are physically situated at the following location: 7487 S State Road 121, Macclenny, FL, 320635451.
What is Lara Miriam Greenwald's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lara Miriam Greenwald's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417126699 to Lara Miriam Greenwald?
The Centers for Medicare & Medicaid Services assigned the 1417126699 to Lara Miriam Greenwald on 2008-02-21.
As of what date was the information regarding Lara Miriam Greenwald, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lara Miriam Greenwald, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-06-09.