Lake County Dental Ltd in Brainerd - Dentist
Lake County Dental Ltd - NPI 1558361667
Lake County Dental Ltd is a Dentist in Brainerd, Minnesota. Lake County Dental Ltd practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lake County Dental Ltd is 1558361667. The last update date is 2020-08-22.
Lake County Dental Ltd's current location address is 402 James St, Brainerd, Minnesota. You can contact this provider via phone number 2188294243 and fax number 2188258102. The mailing address for Lake County Dental Ltd is 402 James St, Brainerd, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake County Dental Ltd |
|---|---|
| Address | 402 James St, Brainerd, Minnesota |
| Phone Number | 2188294243 |
| Fax Number | 2188258102 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mattson John Jeffrey |
| Credentials | DDS |
| Telephone Number | 2188294243 |
NPI Number Detail
| NPI Number | 1558361667 |
|---|---|
| Provider Enumeration Date | 2005-07-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 402 James St |
|---|---|
| City | Brainerd |
| State | Minnesota (MN) |
| Post Code | 564012965 |
| Phone Number | 2188294243 |
| Fax Number | 2188258102 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | MATTSON 1081 |
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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 Lake County Dental Ltd by the Centers for Medicare & Medicaid Services?
The Lake County Dental Ltd has been issued the NPI (National Provider Identifier) 1558361667. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Lake County Dental Ltd is physically located?
The Lake County Dental Ltd is physically situated at the following address: 402 James St, Brainerd, MN, 564012965.
What is Lake County Dental Ltd's area of expertise and its corresponding taxonomy classification?
The Lake County Dental Ltd's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
When did Lake County Dental Ltd receive its 1558361667 assignment?
The Lake County Dental Ltd was assigned its 1558361667 on 2005-07-29, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Lake County Dental Ltd last refreshed?
The information related to the Lake County Dental Ltd, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
NPI Number: 1356344279
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