Phillip Lyle Stelly in Carencro - Dentist

Phillip Lyle Stelly - NPI 1447378526

Phillip Lyle Stelly is a Dentist in Carencro, Louisiana. Phillip Lyle Stelly practices all healthcare services and medical treatments related to Dentist. The NPI Number for Phillip Lyle Stelly is 1447378526. The last update date is 2007-07-08.

Phillip Lyle Stelly's current location address is 258 Arceneaux Rd, Carencro, Louisiana. You can contact this provider via phone number 3378963267 and fax number 3378967852. The mailing address for Phillip Lyle Stelly is 258 Arceneaux Rd, Carencro, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Phillip Lyle Stelly
Address 258 Arceneaux Rd, Carencro, Louisiana
Phone Number 3378963267
Fax Number 3378967852
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1447378526
Provider Enumeration Date 2007-03-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 258 Arceneaux Rd
City Carencro
State Louisiana (LA)
Post Code 70520
Phone Number 3378963267
Fax Number 3378967852

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 4453
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1844535 LA --

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FAQs about Phillip Lyle Stelly

What is the unique identifier code issued to Phillip Lyle Stelly by the Centers for Medicare & Medicaid Services?

The Phillip Lyle Stelly has been assigned the NPI (National Provider Identifier) 1447378526. 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 Phillip Lyle Stelly is geographically located?

The Phillip Lyle Stelly is physically situated at the following location: 258 Arceneaux Rd, Carencro, LA, 70520.

What is Phillip Lyle Stelly's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Phillip Lyle Stelly is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

When did the Phillip Lyle Stelly receive its 1447378526?

The Phillip Lyle Stelly was issued its 1447378526 on 2007-03-27, which is the date when the organization was assigned this unique identifier.

As of what date were the Phillip Lyle Stelly's details last updated?

The information pertaining to the Phillip Lyle Stelly, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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