Wayne Reuben Liudahl in Wichita - Dentist
Wayne Reuben Liudahl - NPI 1912029869
Wayne Reuben Liudahl is a Dentist in Wichita, Kansas. Wayne Reuben Liudahl practices all healthcare services and medical treatments related to Dentist. The NPI Number for Wayne Reuben Liudahl is 1912029869. The last update date is 2007-07-08.
Wayne Reuben Liudahl's current location address is 4805 W Central, Wichita, Kansas. You can contact this provider via phone number 3169459845 and fax number 3169453164. The mailing address for Wayne Reuben Liudahl is 4805 W Central, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wayne Reuben Liudahl |
|---|---|
| Address | 4805 W Central, Wichita, Kansas |
| Phone Number | 3169459845 |
| Fax Number | 3169453164 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1912029869 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4805 W Central |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 67212 |
| Phone Number | 3169459845 |
| Fax Number | 3169453164 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5312 |
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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 identification code assigned to Wayne Reuben Liudahl by the Centers for Medicare & Medicaid Services?
The Wayne Reuben Liudahl has been issued the NPI (National Provider Identifier) 1912029869. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Wayne Reuben Liudahl located?
The Wayne Reuben Liudahl is located at 4805 W Central, Wichita, KS 67212.
What is the area of specialization for Wayne Reuben Liudahl, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wayne Reuben Liudahl is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1912029869 to Wayne Reuben Liudahl?
The Wayne Reuben Liudahl received its 1912029869 assignment from the Centers for Medicare & Medicaid Services on 2007-04-04.
As of what date were the Wayne Reuben Liudahl's details last updated?
The information pertaining to the Wayne Reuben Liudahl, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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