Lawrence Joseph Kotok in Maple Grove - Dentist
Lawrence Joseph Kotok - NPI 1912053422
Lawrence Joseph Kotok is a Dentist in Maple Grove, Minnesota. Lawrence Joseph Kotok practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lawrence Joseph Kotok is 1912053422. The last update date is 2007-07-08.
Lawrence Joseph Kotok's current location address is 16342 County Rd 30, Maple Grove, Minnesota. You can contact this provider via phone number 7634209876 and fax number 7634202354. The mailing address for Lawrence Joseph Kotok is 16342 County Rd 30, Maple Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lawrence Joseph Kotok |
|---|---|
| Address | 16342 County Rd 30, Maple Grove, Minnesota |
| Phone Number | 7634209876 |
| Fax Number | 7634202354 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1912053422 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 16342 County Rd 30 |
|---|---|
| City | Maple Grove |
| State | Minnesota (MN) |
| Post Code | 55311 |
| Phone Number | 7634209876 |
| Fax Number | 7634202354 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 9661 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lawrence Joseph Kotok by the Centers for Medicare & Medicaid Services?
The Lawrence Joseph Kotok has been issued the NPI (National Provider Identifier) 1912053422, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Lawrence Joseph Kotok is geographically located?
The Lawrence Joseph Kotok is physically situated at the following location: 16342 County Rd 30, Maple Grove, MN, 55311.
What is Lawrence Joseph Kotok's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lawrence Joseph Kotok's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Lawrence Joseph Kotok receive its 1912053422 assignment from the Centers for Medicare & Medicaid Services?
The Lawrence Joseph Kotok was assigned its 1912053422 by the Centers for Medicare & Medicaid Services on 2007-01-26.
As of what date were the details related to Lawrence Joseph Kotok most recently updated or revised?
The information pertaining to Lawrence Joseph Kotok, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.