Lakeland Family Dental in Monticello - Dentist
Lakeland Family Dental - NPI 1538328059
Lakeland Family Dental is a Dentist in Monticello, Minnesota. Lakeland Family Dental practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lakeland Family Dental is 1538328059. The last update date is 2008-06-13.
Lakeland Family Dental's current location address is 106 Broadway St East, Monticello, Minnesota. You can contact this provider via phone number 7632953036 and fax number 7632954514. The mailing address for Lakeland Family Dental is 106 Broadway St East, Monticello, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeland Family Dental |
|---|---|
| Address | 106 Broadway St East, Monticello, Minnesota |
| Phone Number | 7632953036 |
| Fax Number | 7632954514 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wong Fu |
| Credentials | DDS |
| Telephone Number | 7634244415 |
NPI Number Detail
| NPI Number | 1538328059 |
|---|---|
| Provider Enumeration Date | 2008-06-09 |
| Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
| Address | 106 Broadway St East |
|---|---|
| City | Monticello |
| State | Minnesota (MN) |
| Post Code | 553629351 |
| Phone Number | 7632953036 |
| Fax Number | 7632954514 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 10739 |
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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 Lakeland Family Dental by the Centers for Medicare & Medicaid Services?
The Lakeland Family Dental has been issued the NPI (National Provider Identifier) 1538328059. 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 Lakeland Family Dental is physically located?
The Lakeland Family Dental is physically situated at the following address: 106 Broadway St East, Monticello, MN, 553629351.
What is Lakeland Family Dental's area of expertise and its corresponding taxonomy classification?
The Lakeland Family Dental's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1538328059 to Lakeland Family Dental?
The Lakeland Family Dental received its 1538328059 assignment from the Centers for Medicare & Medicaid Services on 2008-06-09.
As of what date was the information regarding Lakeland Family Dental, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lakeland Family Dental, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-13.
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