Max Lee Gaston is a Dentist in Ft Gordon, Georgia. Max Lee Gaston practices all healthcare services and medical treatments related to Dentist. The NPI Number for Max Lee Gaston is 1477532737. The last update date is 2007-07-08.
Max Lee Gaston's current location address is Bldg 38717 38th Street, Ft Gordon, Georgia. You can contact this provider via phone number 7067876927 and fax number 7067872082. The mailing address for Max Lee Gaston is Bldg 38717 38th Street, Ft Gordon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Max Lee Gaston |
|---|---|
| Address | Bldg 38717 38th Street, Ft Gordon, Georgia |
| Phone Number | 7067876927 |
| Fax Number | 7067872082 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1477532737 |
|---|---|
| Provider Enumeration Date | 2006-01-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Bldg 38717 38th Street |
|---|---|
| City | Ft Gordon |
| State | Georgia (GA) |
| Post Code | 309055660 |
| Phone Number | 7067876927 |
| Fax Number | 7067872082 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 30015913 |
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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 assigned to Max Lee Gaston by the Centers for Medicare & Medicaid Services?
The Max Lee Gaston has been issued the NPI (National Provider Identifier) 1477532737 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Max Lee Gaston is located?
The Max Lee Gaston is situated at the following address: Bldg 38717 38Th Street, Ft Gordon, GA, 309055660.
What is the Max Lee Gaston's specialty and taxonomy code?
The Max Lee Gaston's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did the Max Lee Gaston receive its 1477532737?
The Max Lee Gaston was issued its 1477532737 on 2006-01-13, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Max Lee Gaston most recently updated or revised?
The information pertaining to Max Lee Gaston, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.