Stephen Robert Leitgen in Bloomington - Dentist
Stephen Robert Leitgen - NPI 1063553881
Stephen Robert Leitgen is a Dentist in Bloomington, Minnesota. Stephen Robert Leitgen practices all healthcare services and medical treatments related to Dentist. The NPI Number for Stephen Robert Leitgen is 1063553881. The last update date is 2007-08-28.
Stephen Robert Leitgen's current location address is 7324 Bush Lake Dr, Bloomington, Minnesota. You can contact this provider via phone number 9523033672. The mailing address for Stephen Robert Leitgen is 7324 Bush Lake Dr, Bloomington, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Robert Leitgen |
|---|---|
| Address | 7324 Bush Lake Dr, Bloomington, Minnesota |
| Phone Number | 9523033672 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1063553881 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2007-08-28 |
Provider Mailing Address Detail
| Address | 7324 Bush Lake Dr |
|---|---|
| City | Bloomington |
| State | Minnesota (MN) |
| Post Code | 554381682 |
| Phone Number | 9523033672 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 9940 |
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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 Stephen Robert Leitgen by the Centers for Medicare & Medicaid Services?
The Stephen Robert Leitgen has been issued the NPI (National Provider Identifier) 1063553881. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Stephen Robert Leitgen?
The Stephen Robert Leitgen is situated at 7324 Bush Lake Dr, in the city of Bloomington, state of MN, with the zip code 554381682.
What is Stephen Robert Leitgen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stephen Robert Leitgen is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Stephen Robert Leitgen receive its 1063553881 assignment from the Centers for Medicare & Medicaid Services?
The Stephen Robert Leitgen was assigned its 1063553881 by the Centers for Medicare & Medicaid Services on 2007-02-12.
When was the Stephen Robert Leitgen's information last updated?
The Stephen Robert Leitgen's information was last updated on 2007-08-28.